What symptom should a nurse monitor for in a patient who recently stopped taking clonidine?

When a patient stops taking clonidine, it is important to monitor for the occurrence of withdrawal symptoms, one of which is often tremors. Clonidine is an alpha-2 adrenergic agonist used primarily for hypertension, and it works by decreasing sympathetic outflow from the central nervous system. When suddenly discontinued, there can be a rebound effect due to the sudden increase in norepinephrine activity, leading to various withdrawal symptoms, including increased sympathetic tone.

Tremors can occur because the body has become accustomed to the suppressive effects of clonidine on the nervous system. When the medication is withdrawn abruptly, the body can overreact, resulting in symptoms like tremors. This makes monitoring for tremors especially important when a patient has recently stopped taking clonidine.

Other symptoms that might occur as part of withdrawal include anxiety, but tremors are particularly distinct and significant in this context, highlighting the necessary focus on this specific symptom following the cessation of therapy.