The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery.
Which menu item(s) should the nurse request for this client? (Select all that apply).

Choice A rationale:

Checking the femoral site for hematoma formation is the most appropriate action in response to the client's complaint of pain at the right groin insertion site after a cardiac catheterization. Hematoma formation is a potential complication of this procedure and can lead to further complications if not addressed promptly. Checking for hematoma allows the nurse to assess for bleeding and take appropriate measures to manage it.

Choice B rationale:

Stimulating the client to take deep breaths is not the most immediate action needed in this situation. While deep breathing is important for respiratory function, the client's pain at the groin site requires immediate assessment to rule out complications.

Choice C rationale:

Evaluating the integrity of the IV insertion site is not the primary concern in this case. The client's pain is localized to the groin site, which is where the cardiac catheterization was performed. Checking for hematoma formation at this site takes precedence.

Choice D rationale:

Assessing distal lower extremity capillary refill is important for assessing peripheral perfusion, but it is not the most immediate action needed when a client complains of pain at a specific site, such as the right groin insertion site after a cardiac catheterization. Checking for hematoma and assessing for bleeding should come first.

Choice A rationale:

Exenatide does not work in the same way as insulin in lowering blood glucose levels. Exenatide is a glucagon-like peptide-1 receptor agonist (GLP-1 agonist) that works by stimulating insulin secretion in response to elevated blood glucose levels, slowing gastric emptying, and suppressing glucagon release. It does not act like exogenous insulin.

Choice B rationale:

Injecting exenatide within 30 minutes before or after a meal is the correct instruction. This timing is essential because exenatide works best when it is coordinated with meals to help control post-meal blood glucose spikes.

Choice C rationale:

There are precautions about taking exenatide with other medications. It is important for the client to discuss all medications, including potential interactions, with their healthcare provider. Some medications may need to be adjusted when taken with exenatide.

Choice D rationale:

Notifying the healthcare provider if abdominal pain occurs is a valid instruction. Exenatide can sometimes cause gastrointestinal side effects, including abdominal pain. It is essential for the client to report any adverse effects to their healthcare provider for appropriate management.