A nurse is preparing to apply a fentanyl transdermal patch. Which of the following actions should the nurse take?

C. Thiazide diuretics like hydrochlorothiazide can cause orthostatic hypotension, which may contribute to the client's symptoms of dizziness and light-headedness upon standing. Advising the client to change positions slowly can help mitigate these symptoms by allowing the body time to adjust to changes in posture and blood pressure.
D. Thiazide diuretics can alter electrolyte levels, including potassium, which is critical for normal cardiac function. Although the client's potassium level (3.4 mEq/L) is within the normal range, ongoing

monitoring for potential dysrhythmias is prudent due to the electrolyte-altering effects of hydrochlorothiazide.
E. Given the client's report of dizziness and light-headedness upon standing, checking for orthostatic hypotension is important. Thiazide diuretics can cause volume depletion and subsequent orthostatic hypotension, especially in older adults. Assessing blood pressure and symptoms in supine and standing positions will help evaluate for orthostatic changes.
A. This is not typically recommended for hydrochlorothiazide. It is usually advised to take this medication in the morning to avoid nighttime diuresis and nocturia. Therefore, this action is not appropriate.
B. Hydrochlorothiazide is a thiazide diuretic that can cause potassium loss through increased urine output. Restricting potassium intake is not typically necessary unless potassium levels drop significantly below the normal range. Given that the client's potassium level is within the normal range (3.4 mEq/L), advising strict potassium restriction is not indicated at this time.

C Clopidogrel can affect platelet function, which may lead to increased susceptibility to bruising or bleeding. Clients taking clopidogrel should be advised to monitor for unexplained bruising, bleeding gums, or prolonged bleeding from minor cuts and to promptly report these symptoms to their healthcare provider.

A. Clopidogrel primarily affects platelet function and is unlikely to cause visual disturbances. Therefore, blurred vision is not a significant concern with this medication.

B. Clopidogrel does not affect gastrointestinal motility or function in a way that would lead to constipation. Therefore, constipation is not expected as a side effect of this medication.

D. Clopidogrel does not typically affect metabolism or appetite in a way that would cause weight loss. Therefore, weight loss is not an expected side effect of this medication.