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 C

Explanation

A. "I will remove the tablets from the bottle and keep in a plastic bag in my handbag." This statement is incorrect because nitroglycerin tablets should be kept in their original amber bottle to protect them from light and moisture. Storing them in a plastic bag can compromise their effectiveness.

B. "I will obtain a new prescription every two months so it doesn't expire." While it is important to replace expired medication, nitroglycerin tablets typically have a shelf life of 6 months to 1 year, depending on the formulation. The client should be educated on checking expiration dates rather than just obtaining a new prescription regularly.

C. "I will call 911 if I get chest pain that doesn't go away after taking one tablet." This statement indicates understanding of the importance of seeking emergency help if chest pain persists after taking nitroglycerin, as it may signify a more serious condition requiring immediate medical attention.

D. "I will leave my bottle of nitroglycerin at home in the medicine cabinet." This is inappropriate because nitroglycerin should be easily accessible, ideally kept with the client at all times, especially when they might experience chest pain.

A. has gained 2 pounds and has pink buccal mucosa. B. verbalizes eating more iron fortified cereals. C. no longer has paresthesia of the hands and feet. D. has stopped drinking any alcoholic beverages

Correct Answer is C

Explanation

A) Has gained 2 pounds and has pink buccal mucosa: While weight gain and pink mucosa are positive signs, they are not definitive indicators of effective treatment for Vitamin B12 deficiency specifically.

B) Verbalizes eating more iron-fortified cereals: This dietary change is beneficial for overall nutrition but does not directly relate to the treatment of Vitamin B12 deficiency. Iron and Vitamin B12 serve different functions in the body.

C) No longer has paresthesia of the hands and feet: The resolution of paresthesia is a strong indicator that the treatment for Vitamin B12 deficiency has been effective. Paresthesia is often associated with nerve damage due to B12 deficiency, so its absence suggests improvement.

D) Has stopped drinking any alcoholic beverages: While reducing alcohol intake can be beneficial for overall health and may help with nutrient absorption, this change alone does
not indicate that the specific treatment for Vitamin B12 deficiency has been effective.

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

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