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

No explanation

A. Apply moist heat to the incision while in bed. B. Sit in a straight-backed chair. C. Perform range of motion exercises by adducting the hip.

Correct Answer is B

Explanation

Sit in a straight-backed chair. After a total hiparthroplasty, the client should avoid sitting in chairs that are too low or too soft, as they can be difficult to rise from and can risk dislocating the new hip. The clientshould apply ice to the incision site, not moist heat, in the first few dayspostoperatively. The client should avoid adducting the hip as this can also riskdislocation of the new hip joint. Hydrogen peroxide should not be used to cleanthe surgical incision, as it can delay wound healing.

Choice A: The client shouldapply ice to the incision site, not moist heat, in the first few days postoperatively.

Choice C: The client should avoid adducting the hip as this can risk dislocation ofthe new hip joint.

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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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Explanation

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