A patient who has hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?

Remove the patch if a headache develops.

Monitor weight on a daily basis.

Place the patch on the anterior chest.

Remove the patch as directed and inspect the skin.

Answer and Explanation

The Correct Answer is D

A. Remove the patch if a headache develops: While headaches can be a side effect of clonidine, removing the patch is not the recommended immediate action without further assessment. The patient should be advised to consult with their healthcare provider if they experience significant side effects.

B. Monitor weight on a daily basis: While weight monitoring is important for some medications, it is not a specific recommendation for clonidine. Patients should be informed to monitor for signs of fluid retention or significant weight changes, but daily weight monitoring is not typically required.

C. Place the patch on the anterior chest: The clonidine patch should be placed on a hairless area of skin, typically on the upper arm or chest, but the anterior chest is not specific enough. Patients should be instructed to follow the manufacturer's guidelines for proper placement.

D. Remove the patch as directed and inspect the skin: This is the best discharge instruction. Patients should be informed to remove the patch according to the prescribed schedule and to inspect the skin for any irritation or allergic reactions. Regular skin checks are important to prevent any adverse reactions from prolonged patch use.

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Correct Answer is C

Explanation

A. Food may interact with the dye that is used for the test: While this might be true, it doesn’t directly address the situation of hunger and could confuse the client.

B. I will ask the health care provider if the test can be rescheduled: This may not be necessary if the client can still undergo the test as scheduled despite their hunger.

C. The procedure is usually completed on an empty stomach: This response provides the client with important information about why they should not eat before the test, which is likely due to the need for accurate results from the nuclear stress test.

D. I will call dietary to bring you breakfast: This could interfere with the test and does not address the client's current need for information.

A. The layers of your heart are weak and thin. B. The pain you have is because your heart valves are damaged." C. Your heart muscle is weak and is not pumping forcefully." D. The pain is caused by decreased oxygen to the heart muscle."

Correct Answer is D

Explanation

A. The layers of your heart are weak and thin: This statement does not accurately address the underlying cause of chest pain in coronary artery disease. Weakness in heart layers is not a common explanation for angina.
B. The pain you have is because your heart valves are damaged: While valve damage can lead to cardiac symptoms, it is not the primary cause of chest pain associated with coronary artery disease, which is more directly related to blood flow issues.

C. Your heart muscle is weak and is not pumping forcefully: This statement could be true in the context of heart failure but does not specifically explain the chest pain associated with coronary artery disease.

D. The pain is caused by decreased oxygen to the heart muscle: This is the most accurate and appropriate response. Chest pain in coronary artery disease, often referred to as angina, typically occurs due to reduced blood flow and, consequently, oxygen delivery to the heart muscle. This explanation helps the client understand the physiological basis of their symptoms.

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A patient who has hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, who is scheduled for a nuclear stress test, tells the nurse that the breakfast tray was not delivered and complains of hunger. Which of the following statements represent the nurse's best response?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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