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 D

Explanation

A. Administer the medications at different times to provide an even blood level: This option is inappropriate given the client's current heart rate. Both atenolol and diltiazem are cardiovascular medications that can further lower heart rate and potentially lead to bradycardia or other complications.

B. Assess the client's blood pressure and if the BP is normal, administer the medications: While it's important to assess blood pressure, both medications can further decrease heart rate. Given the current bradycardia (heart rate of 45 beats/min), administering either medication could exacerbate the issue.

C. Document the pulse rate and administer the medications as prescribed: This option is not appropriate. The pulse rate of 45 beats/minute is significantly below the normal range, and administering medications that can lower heart rate further could pose serious risks.

D. Withhold the medications and reassess the heart rate in 30 minutes: This is the best nursing action. Withholding the medications allows for further evaluation of the client's heart rate, and it ensures that the nurse can prevent potential adverse effects related to the bradycardia.

A. "Food may interact with the dye that is used for the test." B. "I will ask the health care provider if the test can be rescheduled." C. "The procedure is usually completed on an empty stomach." D. "I will call dietary to bring you breakfast."

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.

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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

A client is scheduled to receive atenolol 25 mg PO and diltiazem 60 mg PO at 0800. The nurse assesses the client's heart rate as 45 beats/minute and irregular. What is the best nursing action at this time?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A patient who has hypertension has been prescribed a clonidine patch. Which discharge instruction should the nurse provide?