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?

Monitor the client for weight loss.

Advise the client about increased dry mouth.

Inform the client of the adverse effect of diarrhea.

Check the client for increased hypopigmentation under the patch.

Answer and Explanation

The Correct Answer is B

Advise the client about increased dry mouth. Transdermal clonidine can cause xerostomia, or dry mouth, due to a decrease in salivary secretion. The nurse should advise the client to maintain good oral hygiene and to increase fluid intake to prevent oral and dental problems.

An explanation for incorrect choices:

A. Weight loss is not a common adverse effect or risk associated with transdermal clonidine.

C. Diarrhea can occur with transdermal clonidine, but it is not a common adverse effect or risk.

D. Hypopigmentation is rare with transdermal clonidine; it is more common with corticosteroids.

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Correct Answer is A

Explanation

Redness around the incision line. Redness around the incision line indicates inflammation and is a sign of wound infection. Bruising around the wound and crusting along the incision are normal findings in the early postoperative period. Serous wound drainage is a normal finding after surgery and is not an indication of infection.

Other choices are not correct because:

B. Bruising around the wound: This is a normal finding in the early postoperative period.

C. Serous wound drainage: This is a normal finding after surgery and is not an indication of infection.

D. Crustin

A. Loss of appetite B. WBC count 15,000/mm C. Rigid, board-like abdomen D. Temperature 37.8°C (100°F)

Correct Answer is C

No explanation

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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?

Nursing Test Bank

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