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. should continue to read the labels of foods I select in the grocery store." B. When get out of bed in the morning. I should first sit for a few minutes and then stand." C. will be able to stop my anti-hypertensive medication when my blood pressure is normal." D. "Keeping my blood pressure under control reduces my risk for a heart attack."

Correct Answer is C

Explanation

A. "I should continue to read the labels of foods I select in the grocery store.": This statement is appropriate as reading labels helps the client avoid high sodium and unhealthy fats, which can negatively impact blood pressure.

B. "When I get out of bed in the morning, I should first sit for a few minutes and then stand.": This statement reflects a good understanding of managing potential orthostatic hypotension, which can occur with antihypertensive medications. It indicates awareness of the need to rise slowly to prevent dizziness.

C. "I will be able to stop my anti-hypertensive medication when my blood pressure is normal.": This statement indicates a need for clarification. Many patients believe that once their blood pressure is normal, they can discontinue medication, but hypertension is often a chronic condition that requires ongoing management to maintain blood pressure control.

D. "Keeping my blood pressure under control reduces my risk for a heart attack.": This statement is accurate and demonstrates an understanding of the importance of hypertension management in reducing cardiovascular risk.

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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 C

Explanation

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Correct Answer is C

Explanation

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