When teaching parents about a child newly prescribed Desipramine, the nurse should instruct them that which of the following adverse effects is the priority to report to the provider?

Correct Answer: B

Rationale: The priority adverse effect to report when a child is prescribed Desipramine is suicidal thoughts. Desipramine can lead to an increased risk of suicidal thoughts and behaviors. It is crucial for the parents to monitor the child for any signs of worsening depression or thoughts of self-harm and report them promptly to the healthcare provider to prevent any harm to the child.

Correct Answer: C

Rationale: It is essential to take Levodopa/Carbidopa with food to reduce gastrointestinal side effects. Food helps decrease the likelihood of gastrointestinal upset that may occur when taking this medication. Instructing the client to take the medication with food promotes better tolerance and absorption of the drug.

Correct Answer: A

Rationale: Grapefruit juice should be avoided when taking Atorvastatin because it can increase the blood levels of the medication, potentially leading to a higher risk of adverse effects like muscle pain and liver damage. It is important to follow this instruction to ensure the safe and effective use of Atorvastatin.

Correct Answer: C

Rationale: The nurse should monitor the aPTT (activated partial thromboplastin time) when caring for a client receiving Heparin therapy. The aPTT reflects the intrinsic pathway of the clotting cascade and is used to monitor the effectiveness of heparin, which primarily affects this pathway by potentiating antithrombin III. Monitoring the aPTT helps ensure that the client's blood is within the therapeutic range to prevent thrombus formation.

Correct Answer: C

Rationale: In the context of a client receiving IV Dopamine for shock treatment, the correct answer indicating the medication's effectiveness is option C) Increased urine output. Dopamine is a vasopressor medication that works by increasing cardiac output and improving renal perfusion, resulting in increased urine production. This diuretic effect is a key indicator that the medication is improving the client's hemodynamic status and perfusion. Option A) Increased heart rate would not necessarily indicate the effectiveness of Dopamine, as an increased heart rate could be a compensatory response to shock rather than a direct result of the medication. Option B) Decreased blood pressure would actually be an undesirable outcome in a patient receiving Dopamine for shock, as the goal of treatment is to improve perfusion and stabilize blood pressure. Option D) Decreased respiratory rate is not a typical indicator of Dopamine's effectiveness in treating shock. Respiratory rate is more closely related to pulmonary function and oxygenation status rather than the hemodynamic effects of Dopamine. Educationally, understanding the expected outcomes and rationale behind medication administration in shock is crucial for nursing practice. It is important to recognize the specific indicators of medication effectiveness to provide safe and effective patient care.