Practice Quiz

NCLEX-RN

Category - Pharmacological

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Maria, a hypertensive patient, was taken to the hospital after losing consciousness at home. Maria regained consciousness on the way to the hospital. Physical assessment revealed that her blood pressure was 210/110 mmHg. After stabilizing her, she was allowed to go home. The physician prescribed a clonidine patch to manage noncompliance with her antihypertensive drug. What is an important nursing consideration when explaining this drug?
  1. Closely monitor the blood pressure at home.
  2. Avoid salty and fatty foods.
  3. Apply to hairless and dry skin.
  4. Continue antihypertensive medication for 2-3 days after placing the patch.
Explanation
Answer: D - Due to the delayed onset of the clonidine patch’s antihypertensive effect, the nurse should instruct the patient to continue with the prescribed oral antihypertensive drug. Clonidine transdermal therapy is usually prescribed to a patient who cannot take drugs orally or to increase their compliance rate. The patient should keep an eye on their blood pressure to evaluate their response to the drug. Additionally, they should maintain a balanced diet low in sodium and fat. For better results, the patch should be placed on dry and hairless skin.
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