ATI Pharmacology

Correct Answer: B

Rationale: The correct answer is to instruct the client to avoid taking Levofloxacin with dairy products. This is because calcium in dairy products can interfere with the absorption of the medication. Patients should be advised to take Levofloxacin either 1 hour before or 2 hours after consuming dairy products to ensure optimal effectiveness.

Correct Answer: B

Rationale: The activated partial thromboplastin time (aPTT) is the laboratory value used to monitor the effectiveness of heparin therapy. The aPTT should be maintained at 1.5 to 2 times the normal level to ensure therapeutic anticoagulation. Monitoring aPTT helps healthcare providers adjust heparin doses to achieve the desired anticoagulant effects and prevent complications such as bleeding or clotting.

Correct Answer: B

Rationale: Chewing sugarless gum can help alleviate dry mouth, which is a common anticholinergic effect of Fluphenazine. This intervention can provide relief and improve the client's comfort while taking the medication.

Correct Answer: A

Rationale: One of the potential adverse effects of fluoxetine and other SSRIs is a decreased desire for intimacy. It is important for the nurse to educate the client about this possible side effect to enhance understanding and promote informed decision-making.

Correct Answer: C

Rationale: The nurse should monitor the client for gynecomastia, as it is an adverse effect of leuprolide due to decreased testosterone levels. Leuprolide works by decreasing testosterone production, which can lead to gynecomastia, the development of male breast tissue. Monitoring for this side effect is essential for early detection and intervention.