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

Choice A rationale

Hypoglycemia, or low blood sugar, does not trigger the pancreas to secrete insulin. In fact, it’s the opposite. When blood sugar levels are low, the pancreas secretes glucagon, a hormone that signals the liver to release stored glucose into the bloodstream.
Choice B rationale
Hyperglycemia, or high blood sugar, is the primary trigger for the pancreas to secrete insulin. Insulin is a hormone that helps move glucose from the blood into the cells where it can be used for energy. When blood glucose levels rise, such as after a meal, the pancreas releases more insulin.
Choice C rationale
Glucagon is a hormone produced by the pancreas that works with insulin to control blood sugar levels. However, it does not trigger the pancreas to secrete insulin. Instead, glucagon acts when blood sugar levels are low, signaling the liver to release stored glucose into the bloodstream.
Choice D rationale
Ketoacids, or ketones, are substances made when the body breaks down fat for energy. The production of ketones is usually a sign that the body is not getting enough glucose for energy. However, they do not trigger the pancreas to secrete insulin.

Choice A rationale

Misoprostol (Cytotec) is contraindicated in pregnant women because it can induce labor or cause miscarriages. It is sometimes used in obstetrics to induce labor or to treat postpartum hemorrhage, but it should never be used in pregnant women to treat peptic ulcers.
Choice B rationale
There is no contraindication for using misoprostol in a client who has osteoarthritis.
Choice C rationale
Misoprostol does not interact with medications typically used to treat urinary tract infections, and there is no contraindication for its use in these clients.
Choice D rationale
Misoprostol does not interact with medications typically used to treat kidney stones, and there is no contraindication for its use in these clients.