A client diagnosed with hypertension has been prescribed a clonidine patch. Which instructions should the nurse include? Select all that apply. A)Apply patch to the upper arm or chest B)Fold used patches in half with sticky sides together before discarding C)Remove patch if dizziness occurs when getting up D)Rotate sites each time a new patch is applied E)Shave hair before applying patch

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11ecbb05_cb3f_cf4b_b433_954956268be5_MD0009_00 Clonidine is a potent antihypertensive agent and is available as a transdermal patch. The patches should be replaced every 7 days and can be left in place during bathing. Instructions for using the clonidine (transdermal) patch: Apply the patch to a dry hairless area on the upper outer arm or chest once every 7 days (Option A). Do not shave the area before applying the patch. The skin should be free from cuts, scrapes, calluses, or scars (Option E). Wash hands with soap and water before and after applying the patch as some medication may remain on the hands after application. Wash the area with soap and water, then rinse and wipe with a clean, dry tissue. Remove the patch from the package. Do not touch the sticky side. Rotate sites of patch application with each new patch (Option D). Remove the old patch only when applying a new one. Do not wear more than 1 patch at a time unless directed by your health care provider (HCP). When removing the patch, fold it in half with the sticky sides together. Discard the patch out of the reach of children and pets. Even after it has been used, the patch contains active medicine that may be harmful if accidentally applied or ingested (Option B). Notify the HCP if you are experiencing side effects such as dizziness or slow pulse rate. Do not remove the patch without discussing this with the HCP as rebound hypertension can occur (Option C). Educational objective: The nurse should teach a client receiving a clonidine patch to: Apply patch to a dry hairless area on the upper arm or chest Wash hands before and after application Rotate sites with each new patch application Discard patch away from children or pets with sticky sides folded together Never wear more than 1 patch at a time Never stop using the patch abruptly

A Client Diagnosed with Hypertension Has Been Prescribed a Clonidine