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

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.

Choice A rationale
Administering ordered insulin subcutaneously is the correct method of administration. Insulin is not typically given by other routes.
Choice B rationale
Using an insulin syringe to administer the insulin dose is the correct practice. Insulin syringes are calibrated in insulin units, which helps ensure accurate dosing.
Choice C rationale
Drawing up the ordered dose in a 3 mL syringe is a violation of safe practice. Insulin should always be drawn up in an insulin-specific syringe, which is marked in insulin units, not milliliters.
Choice D rationale
Verifying the drawn-up insulin dose with another nurse is a recommended safety practice in many settings. This double-check can help prevent errors in insulin dosing.