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?

Choice A rationale

Performing neurovascular checks every 2 hours ensures that the nurse can quickly identify signs of compromised circulation or nerve function in the affected extremity. This includes monitoring for changes in color, temperature, sensation, and movement, which are critical for preventing complications such as compartment syndrome.

Choice B rationale

Positioning the fractured arm below the level of the client's heart can increase swelling and impair circulation to the area. It is generally recommended to elevate the arm to reduce edema and promote better blood flow.

Choice C rationale

Immobilizing the client's fingers using a hand splint is not necessary unless there are additional injuries to the hand or fingers. The focus should be on the distal radius fracture and maintaining mobility in the fingers to prevent stiffness and promote circulation.

Choice D rationale

Using a hair dryer to blow hot air into the cast can cause skin burns and damage the cast material. Itching under the cast should be managed with safe methods such as blowing cool air or taking antihistamines if necessary.

Choice A rationale

Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.

Choice B rationale

While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.

Choice C rationale

Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.

Choice D rationale

Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.