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 B

Explanation

"The lesions may reoccur in times of stress." This statement indicates that the client understands that the virus can reactivate and cause new outbreaks during times of stress.

Choice A is not correct because thevirus can spread to other areas through skin-to-skin contact.

Choice C is not correct because the virus can still be contagious even when no lesions are present.

Choice D is not correct because having unprotected sex can still transmit the virus even while taking acyclovir.

A. Temperature 37.3° C (99.1° F) B. WBC Count 9,000/mm3 C. Changed mental status D. Diminished reflexes

Correct Answer is C

Explanation

A bladder infection can lead to confusion or other changes in mental status, especially in older adults. A normal temperature and WBC count do not necessarily indicate a bladder infection. Diminished reflexes are not typically associated with a bladder infection.

A: A temperature of 37.3° C (99.1° F) is within the normal range and does not necessarily indicate a bladder infection.

B: A WBC count of 9,000/mm3 is within the normal range and does not necessarily indicate a bladder infection.

D: Diminished reflexes are not typically associated with a bladder infection.

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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

Naxlex Comprehensive Predictor Exams

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