A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine.Which of the following information should the nurse include in the plan of care?
Advise the client about increased dry mouth.
Check the client for increased hypopigmentation under the patch.
Inform the client of the adverse effect of diarrhea.
Monitor the client for weight loss.
The Correct Answer is A
Choice A rationale
Clonidine can cause dry mouth, which is a common side effect of the medication.
Choice B rationale
Hypopigmentation under the patch is not a common side effect of clonidine and does not need to be monitored.
Choice C rationale
Diarrhea is not a common adverse effect of clonidine. It is not typically associated with the medication.
Choice D rationale
Clonidine is not known to cause weight loss. Monitoring for this is unnecessary. .
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Padded tongue blades are not recommended as they can cause injury or block the airway during a seizure.
Choice B rationale
A backboard is not necessary for a client with a seizure disorder. The focus should be on airway management and safety.
Choice C rationale
Wrist restraints are not appropriate and can cause harm during a seizure. The client should be kept safe and comfortable.
Choice D rationale
Suction equipment is essential to clear the client's airway of secretions or vomit during a seizure, helping to maintain a patent airway. .
Correct Answer is C
Explanation
Choice A rationale
Placing throw rugs on the floor increases the risk of falls, which is particularly dangerous for clients with Alzheimer's disease due to potential mobility and cognitive impairments. Fall prevention measures are critical in their care.
Choice B rationale
Leaving the television on can contribute to sensory overload and confusion in clients with Alzheimer's disease. A calm and structured environment with minimal distractions is more beneficial for their cognitive function and well-being.
Choice C rationale
Installing locks at the top of doors helps prevent clients with Alzheimer's disease from wandering and ensures their safety. This modification addresses the common issue of wandering and helps keep the client secure in their environment.
Choice D rationale
Scheduling alternate caregivers is important for managing caregiver fatigue but is not directly related to environmental modifications in the home. Caregiver support is crucial, but the focus here is on physical safety within the home environment.
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