A client who is one day postpartum reports to the nurse that her baby cannot latch onto the breast. The nurse observes that the client's nipples are inverted. Which action should the nurse implement?

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.

The correct answer is B. "You seem quite frightened right now."

Choice A rationale:

This statement dismisses the client's feelings and may not provide the reassurance they need. It could also escalate the situation if the client feels misunderstood or ignored.

Choice B rationale:

This response acknowledges the client's emotions and validates their experience, which can help build trust and de-escalate the situation. It shows empathy and understanding, which are crucial in managing delusions.

Choice C rationale:

While this statement aims to reassure the client, it may not address their immediate emotional state. The client might not feel safe despite being told they are, so it might not be as effective in calming them down.

Choice D rationale:

This response could inadvertently reinforce the client's delusions by implying that their fears are valid and that the nurse should take action based on those delusions. It might also confuse the client further.