Correct Answer: A

Rationale: Protamine sulfate is the specific antidote for Heparin. Heparin is an anticoagulant medication used to prevent blood clots, and in cases of overdose or excessive bleeding, protamine sulfate is administered to reverse its effects by neutralizing heparin's anticoagulant activity.

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.

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic that can lead to hyperkalemia as an adverse effect. Hyperkalemia is characterized by elevated levels of potassium in the blood, which can be dangerous and lead to cardiac arrhythmias. Therefore, monitoring for signs and symptoms of hyperkalemia is crucial when a client is taking spironolactone.

Correct Answer: B

Rationale: Nevirapine should be taken with food to improve gastrointestinal tolerance and prevent nausea. While absorption is not significantly affected by food, taking it with meals can help reduce adverse gastrointestinal effects.

Correct Answer: B

Rationale: Creatinine levels should be monitored to evaluate vancomycin's effect on kidney function. Vancomycin can be nephrotoxic, so monitoring creatinine levels helps assess renal function and ensure that the medication is not causing harm to the kidneys.