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 D

Explanation

A. "I will have some pain that is similar to a toothache.": This statement shows an understanding that discomfort can occur after a bone marrow aspiration, which is a common experience.

B. "I understand that this is a sterile procedure.": This demonstrates awareness of the importance of sterility during the procedure to prevent infection, which is accurate.

C. "The nurse will check the puncture site at least every 4 hours after the procedure.": This indicates an understanding of the need for monitoring the puncture site for complications such as bleeding or infection, which is an appropriate expectation.

D. "The nurse will give me one 650 mg tablet of Aspirin for pain when the procedure is over.": This statement indicates a need for additional teaching because aspirin can increase the risk of bleeding, particularly after a procedure involving puncturing the skin. Generally, acetaminophen (Tylenol) would be recommended for pain relief instead of aspirin.

A. Temperature elevation of 100.4 ORGAN B. Hemoglobin decrease from 128g/dl to 9.5g/dl C. Serum potassium increase from 3.5 mEq/L 4.5 mEq/L D. Gastrointestinal discomfort prior to eating breakfast E. Several areas of ecchymosis on upper and lower extremities

Correct Answer is ["B","E"]

Explanation

A. Temperature elevation of 100.4°F: While a slight fever can indicate infection or inflammation, it is not an immediate concern related to aspirin use. It requires monitoring but is not as critical as other findings.

B. Hemoglobin decrease from 128 g/dL to 5.5 g/dL: This significant drop in hemoglobin indicates severe anemia, which is a major concern and may suggest gastrointestinal bleeding, a known risk of long-term aspirin use.

C. Serum potassium increase from 3.5 mEq/L to 4.5 mEq/L: This level is still within the normal range and does not indicate a significant clinical issue. Normal potassium levels do not raise immediate concern.

D. Gastrointestinal discomfort prior to eating breakfast: While gastrointestinal discomfort can be a side effect of aspirin, it is not immediately alarming unless associated with more severe symptoms like bleeding or ulceration.

E. Several areas of ecchymosis on upper and lower extremities: This finding is concerning as it may indicate bleeding issues due to thrombocytopenia or increased bleeding tendency associated with aspirin therapy.

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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

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Correct Answer is D

Explanation

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