The nurse is planning discharge instructions for a client with type 2 diabetes who will be starting exenatide.
Which information should be included in the discharge instructions?
Exenatide acts in the same way as insulin in lowering blood glucose.
Inject exenatide within 30 minutes before or after a meal.
There are no precautions about taking exenatide with other medications.
Notify your healthcare provider if you start having abdominal pain.
The Correct Answer is D
The correct answer is choice d. Notify your healthcare provider if you start having abdominal pain.
Choice A rationale:
Exenatide does not act in the same way as insulin. It is a GLP-1 receptor agonist that enhances glucose-dependent insulin secretion, suppresses glucagon secretion, and slows gastric emptying.
Choice B rationale:
Exenatide should be injected within 60 minutes before the morning and evening meals, not within 30 minutes before or after a meal.
Choice C rationale:
There are precautions about taking exenatide with other medications. It can affect the absorption of oral medications, so timing and interactions need to be considered.
Choice D rationale:
Abdominal pain can be a sign of pancreatitis, a serious side effect of exenatide. It is important to notify the healthcare provider if this symptom occurs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Activate the lockdown procedure.
Choice A rationale:
Asking the mother about expected visitors is important for later investigation, but it does not address the immediate concern of a potentially missing infant and delays necessary security measures.
Choice B rationale:
Matching ID bands is an essential step in verifying the identity of infants and mothers, but it should follow initial actions to secure the area and prevent possible abduction.
Choice C rationale:
Determining if the newborn is in the nursery is a logical step but not the first priority. The immediate action should be to secure the unit to prevent any potential abductor from leaving.
Choice D rationale:
Activating the lockdown procedure is the first priority to ensure the safety of the infant and prevent any unauthorized individuals from leaving the facility. This step is crucial to quickly address the situation and prevent potential abduction.
Correct Answer is C
Explanation
Choice A rationale:
The nurse should respect the client's autonomy and right to make decisions about her own care. It is essential to honor the client's refusal of further treatment, and the nurse should communicate this to the family. In this situation, the client has the capacity to make her own decisions, and her wishes should be respected.
Choice B rationale:
Attempting to persuade the client to participate in the clinical trial for one month is not an appropriate approach. It disregards the client's autonomy and her right to refuse treatment. It's essential to respect the client's decision, and trying to convince her against her will is ethically and legally inappropriate.
Choice D rationale:
While it's important to ensure that the client fully understands the implications of her decision, doing so in front of her children may create additional pressure or discomfort for the client. The best approach is to have a private conversation with the client to assess her understanding and provide information or support as needed.
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