A client with a 20-year history of diabetes mellitus is reviewing his medications with the nurse. The client holds up the bottle of duloxetine (Cymbalta) and states, "My cousin has depression and is on this drug
Do you think I'm depressed?" What is the nurse's best response? a. "Many people with long-term diabetes become depressed after a while."
b. "It's for peripheral neuropathy. Do you have burning pain in your feet or hands?"
c. "This antidepressant also has an-ti-inflammatory properties for diabetic pain."
d. "That is possible, but most medications are used for several different things."
B
Damage along nerves causes peripheral neuropathy and leads to burning pain along the nerves. Many drugs, including duloxetine (Cymbalta), can be used to treat peripheral neuropathy. The nurse should assess the client for this condition and then should provide an explanation of why this drug is being used. This medication, although it is used for depression, is not being used for that reason in this case. Cymbalta does not have anti-inflammatory properties. The last option does not provide the client with enough information to be useful.
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