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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Asking about allergies is important but is not the highest priority when a client shows signs of a potential allergic reaction.
Choice B rationale
Difficulty breathing is a sign of a severe allergic reaction, requiring immediate intervention to prevent anaphylaxis.
Choice C rationale
Administering diphenhydramine can help with allergic reactions, but assessing for airway issues is the highest priority.
Choice D rationale
Taking the heart rate is essential but not the most immediate concern compared to airway assessment.
Correct Answer is A
Explanation
Choice A rationale
A changed mental status is a common sign of a urinary tract infection, especially in older adults, due to the effects of the infection on the central nervous system.
Choice B rationale
WBC count 9,000/mm³ is within the normal range of 5,000 to 10,000/mm³ and does not indicate an infection on its own.
Choice C rationale
Diminished reflexes are not typically associated with bladder infections and are not a reliable indicator.
Choice D rationale
A temperature of 37.3°C (99.1°F) is within the normal range and does not necessarily indicate a bladder infection.
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