Correct Answer: D

Rationale: Dizziness and decreased libido are common adverse effects of Venlafaxine. Cough and alopecia are not typical side effects of this medication.

Correct Answer: A

Rationale: An INR of 4.0 is above the therapeutic range for a client on Warfarin, indicating an increased risk of bleeding. This finding requires immediate reporting to the provider for appropriate intervention to prevent complications associated with excessive anticoagulation.

Correct Answer: C

Rationale: The correct answer is 'C: Eye damage.' Eye damage, such as retinopathy, is a severe adverse effect of Hydroxychloroquine, and clients should be informed to report any changes in vision immediately to prevent permanent visual impairment.

Correct Answer: B

Rationale: Tetracycline can cause photosensitivity, making the client more sensitive to the sun's rays. To prevent adverse reactions like sunburn or skin rashes, it is essential for the client to avoid prolonged sun exposure and wear protective clothing when outdoors.

Correct Answer: A

Rationale: The correct answer is extremity paresthesias. Streptomycin, used to treat infections like Subacute Bacterial Endocarditis, can cause paresthesias in the hands and feet as an adverse effect. Monitoring for this symptom is vital to detect and manage it promptly.