A teenage client is taking duloxetine (Cymbalta) for a generalized anxiety disorder. The dose has been changed by the physician.
What adverse effects will the nurse advise the client and family to watch?
Warning signs of suicide.
Fatigue.
Irritability.
Weight gain.
Correct Answer : A,B,C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale
Paroxetine (Paxil) is an SSRI used for the treatment of panic disorder. It can be taken with or without food. Taking it at bedtime can help manage some side effects like nausea and drowsiness.
Choice B rationale
Combining herbal medication with paroxetine is not recommended without consulting a healthcare provider. Some herbal supplements can interact with paroxetine and cause serious conditions like serotonin syndrome.
Choice C rationale
Weight changes are a possible side effect of paroxetine. Therefore, monitoring for weight changes while taking this medication is important.
Choice D rationale
It’s important to note that it can take several weeks before the patient feels like the medication is helping. This is a normal part of the process and patients should be encouraged to continue taking the medication as prescribed, even if they don’t feel immediate relief.
Correct Answer is D
Explanation
Step 1:
1000 mL ÷ 5 hours = 200 mL/hour
Step 2:
200 mL/hour ÷ 60 minutes = (200 ÷ 60) mL/minute = 3.33 mL/minute
Step 3:
3.33 mL/minute × 15 drops/mL = 49.95 drops/minute
Answer:
200 mL/hour and 50 drops/minute (rounded to the nearest whole number)
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