A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?

A) "The headaches should decrease as you get used to the medication.": This statement is correct. A common side effect of isosorbide dinitrate is headaches, as the medication works by dilating blood vessels, which can cause a drop in blood pressure. These headaches typically occur when the medication starts, but they often decrease over time as the body adjusts to the drug. The nurse should reassure the client that this side effect is generally temporary.

B) "You should take the medication on an empty stomach to prevent a headache.": This statement is incorrect. While taking certain medications on an empty stomach may affect their absorption, isosorbide dinitrate is typically not recommended to be taken on an empty stomach to avoid headaches. In fact, it is more common for people to take it with food if it causes gastrointestinal discomfort, but this is not directly related to preventing headaches.

C) "You can discontinue the medication until the headache goes away.": This statement is incorrect. The client should not discontinue the medication without consulting the healthcare provider. Abruptly stopping isosorbide dinitrate can lead to withdrawal symptoms and potentially worsen the client's condition. The nurse should encourage the client to talk to their provider if the headache becomes unbearable or persistent, but not to stop the medication without guidance.

D) "Swallow the tablet whole to minimize your headaches.": This statement is incorrect. Isosorbide dinitrate in chewable form is designed to be chewed, as this method of administration helps the drug be absorbed more quickly and effectively. Swallowing the tablet whole would not address the issue of headaches and could affect how the medication works.

A) Place the bedside table 2 feet away from the bed: This is not recommended for a client at risk for falls. The bedside table should be within reach of the client to avoid the need for excessive movement, which could increase the risk of a fall, especially if the client is unsteady or disoriented. Ideally, the bedside table should be placed within arm’s reach for convenience and safety.

B) Keep lighting in the home dim: Dim lighting increases the risk of falls by making it harder for the client to see obstacles and navigate safely. It is important to ensure that lighting is bright enough to illuminate walking areas, hallways, and other areas that might present a fall risk.

C) Place area rugs on slick floor surfaces: Area rugs on slick surfaces are hazardous as they can cause tripping or slipping, increasing the risk of a fall. It is best to remove rugs or ensure they are securely fastened to prevent them from sliding. Non-slip rugs or floor mats can be used, but they should not be placed on slick surfaces.

D) Move the client's bed to the main floor of the house: Moving the client's bed to the main floor is a good safety measure, especially if the client has difficulty navigating stairs. This reduces the need for the client to climb stairs, which can be dangerous and increase the risk of falls. Having the bed on the main floor ensures that the client can easily access their sleeping area without the risk of falling on stairs.