What would the nurse teach a client to avoid when taking barbiturates?

Choice A rationale
Duloxetine (Cymbalta) can increase the risk of suicidal thoughts, especially in teenagers. Therefore, it’s important for the client and family to watch for warning signs of suicide.
Choice B rationale

Fatigue is a common side effect of duloxetine. The client and family should be aware of this potential side effect.
Choice C rationale
Irritability is another potential side effect of duloxetine. The client and family should be advised to monitor for changes in mood or behavior.
Choice D rationale
Weight gain is a potential side effect of many antidepressants, including duloxetine. The client and family should be advised to monitor for significant changes in weight.

Choice A rationale
The patient with a pre-meal glucose level of 90 mg/dL, scheduled to receive 10 units of NPH, is not in immediate need of insulin. NPH is an intermediate-acting insulin, and a glucose level of 90 mg/dL is within the normal range.
Choice B rationale

The patient with a pre-meal glucose level of 70 mg/dL, scheduled to receive 2 units of aspart (Novolog) insulin, is not in immediate need of insulin. A glucose level of 70 mg/dL is at the lower end of the normal range, and aspart is a rapid-acting insulin.
Choice C rationale
The patient with a pre-meal glucose level of 120 mg/dL, scheduled to receive 15 units of NPH, is not in immediate need of insulin. A glucose level of 120 mg/dL is slightly elevated, but NPH is an intermediate-acting insulin.
Choice D rationale
The patient with a pre-meal glucose level of 170 mg/dL, scheduled to receive 5 units of lispro (Humalog) insulin, should receive insulin first. A glucose level of 170 mg/dL is significantly elevated, and lispro is a rapid-acting insulin, making it the most appropriate choice for immediate administration.