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    HESI PN Exit 2023 Proctored Exam

    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?

    Explanation & Rationale

    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.

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