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?

The correct answer is D. Notify your healthcare provider if you start having abdominal pain. Choice A rationale: Exenatide does not act in the same way as insulin. Insulin directly lowers blood glucose levels by facilitating the uptake of glucose into cells, while exenatide is an incretin mimetic that enhances glucose-dependent insulin secretion and slows gastric emptying. Choice B rationale: Exenatide should be injected within 30 minutes before or after a meal, but this is not the most critical information for discharge instructions. Choice C rationale: There are precautions about taking exenatide with other medications, especially those that affect kidney function or interact with exenatide. Choice D rationale: Notifying the healthcare provider if abdominal pain starts is crucial because exenatide can cause side effects such as pancreatitis, which presents with severe abdominal pain. Early detection and intervention are essential for patient safety.