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    HESI Compass exit proctored exam

    The nurse is planning discharge instructions for a client with type 2 diabetes mellitus who will be starting exenatide. Which information should be included in the discharge instructions?

    Explanation & Rationale

    Choice A reason: Exenatide should be administered within 60 minutes before the morning and evening meals, not within 30 minutes before or after a meal.Choice B reason: Notifying the healthcare provider if abdominal pain occurs is important because exenatide can cause pancreatitis, and abdominal pain may be a symptom of this condition.Choice C reason: Exenatide does not act in the same way as insulin. It is an incretin mimetic that enhances glucose-dependent insulin secretion, among other actions.Choice D reason: There are precautions when taking exenatide with other medications, especially those that affect blood glucose levels, so this statement is incorrect.

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