Which intervention, related to this medication, should be initiated to maintain this client’s safety upon discharge?

Correct Answer: B

Rationale: Correct answer: B. Providing a 1-week supply of Elavil with refills contingent on follow-up appointments is the best intervention to maintain the client's safety upon discharge. This approach ensures proper monitoring of the medication's effectiveness and any potential side effects. Incorrect choices: A. Providing a 6-month supply of Elavil may lead to non-compliance and potential misuse of the medication. C. Providing a pill dispenser as a memory aid may help with medication organization but does not address the need for proper monitoring. D. Providing education on avoiding tyramine-containing foods is not directly related to ensuring the client's safety with the medication. Summary: Choice B is the most appropriate as it promotes responsible medication management through regular follow-up appointments, ensuring the client's safety and well-being.

Correct Answer: D

Rationale: The correct answer is D: Watch for bleeding or excessive bruising. Enoxaparin is an anticoagulant medication that helps prevent blood clots. The nurse should teach the patient and family members to monitor for signs of bleeding or excessive bruising, as these could indicate a potential complication of the medication. This is crucial for early detection and intervention to prevent serious consequences. Explanation for incorrect choices: A: Visual demonstration of intramuscular heparin administration is not applicable to enoxaparin as it is typically administered subcutaneously. B: Prothrombin time and international normalized ratio monitoring are not usually required for enoxaparin as it works through a different mechanism compared to warfarin. C: Avoidance of green leafy vegetables is not necessary for enoxaparin, unlike warfarin which interacts with vitamin K found in green leafy vegetables.

Correct Answer: C

Rationale: The correct answer is C: SSRIs make more serotonin available at the synaptic gap. SSRIs work by blocking the reuptake of serotonin, allowing more serotonin to remain in the synaptic gap, leading to enhanced transmission of signals between neurons. This increased availability of serotonin helps regulate mood and emotions, ultimately alleviating symptoms of depression. Choice A is incorrect because SSRIs do not destroy serotonin but rather prevent its reuptake. Choice B is incorrect as SSRIs do not block muscarinic and α1 norepinephrine receptors; they specifically target serotonin reuptake. Choice D is incorrect because SSRIs do not increase the production of acetylcholine and dopamine; their primary mechanism of action is related to serotonin.

Correct Answer: B

Rationale: The correct answer is B: Allow the design of custom drugs. Pharmacogenetics involves studying how genes influence a person's response to drugs. By understanding how genetic variations affect drug metabolism and efficacy, researchers can design personalized medications tailored to an individual's genetic profile. This approach can lead to more effective and safer treatments. Choice A is incorrect because removing genes that cause illness is not the focus of pharmacogenetics; it is more about optimizing drug therapies based on genetic information. Choice C is incorrect as pharmacogenetics primarily deals with drug responses, not food development. Choice D is incorrect as splicing genes for health improvement is more related to genetic engineering and gene therapy, not specifically pharmacogenetics.

Correct Answer: D

Rationale: The sudden elevation in body temperature post-surgery under general anesthesia is indicative of malignant hyperthermia (MH), a rare but life-threatening condition triggered by certain anesthetics. Here's why D is the correct answer: 1. MH is characterized by a rapid increase in body temperature due to uncontrolled muscle metabolism. 2. Common signs include tachycardia, muscle rigidity, and high fever. 3. Prompt recognition and treatment are crucial to prevent serious complications. On the other hand: A: Tachyphylaxis is a rapid decrease in response to a drug with repeated dosing. B: Postoperative infection would typically present with localized signs like redness, swelling, and purulent discharge. C: Malignant hypertension is marked by severely elevated blood pressure, not body temperature.