A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client who has AIDS. The nurse should instruct the newly licensed nurse to clean spills of the client's blood with a solution of water and which of the following cleaning agents?

Choice A Reason:
Informing the client of the adverse effect of diarrhea is less common with clonidine use, especially in comparison to other side effects like dry mouth or skin irritation.
Choice B Reason:
Monitoring for weight loss isn't a primary concern specifically associated with transdermal clonidine use.
Choice C Reason:
Advise the client about increased dry mouth. Dry mouth is a common adverse effect of clonidine, including the transdermal form. Patients should be informed about this so they can manage it effectively, for example, by drinking plenty of water or using sugar-free gum or candy to stimulate saliva production.
Choice D Reason:
Hypopigmentation is not a commonly reported issue with transdermal clonidine patches. However, local skin irritation or rash can occur at the site of the patch.

Choice A Reason:

“Twill increase vitamin C intake by drinking orange juice." Reason why it might not indicate an understanding: Citrus juices like orange juice can exacerbate GERD symptoms due to their acidity. Increasing intake might worsen reflux symptoms for many individuals with GERD.

Choice B Reason:

“Will eat six small meals each day." This statement indicates an understanding. Eating smaller, more frequent meals instead of three large meals can help reduce pressure on the lower esophageal sphincter (LES), minimizing the likelihood of stomach contents flowing back into the esophagus, which commonly triggers GERD symptoms.

Choice C Reason:

"I will lie down for 30 minutes after each meal." Reason why it might not indicate an understanding: Lying down after meals can worsen GERD symptoms. Remaining upright or at least sitting upright for a few hours after meals helps prevent reflux by allowing gravity to assist in keeping stomach contents from moving up into the esophagus.

Choice D Reason:

“Will sleep flat on my back at night." Reason why it might not indicate an understanding: Sleeping flat on the back can aggravate GERD symptoms as it allows stomach acid to flow more easily into the esophagus. Sleeping with the head elevated (using pillows or an adjustable bed) is recommended to reduce nighttime reflux.