The nurse is teaching a client about metoclopramide (Reglan) therapy. Which client statement indicates to the nurse that the client has a correct understanding of the therapy?

A. "The different onsets and peaks of the two types provide better overall glucose control.": Regular insulin has a rapid onset and short duration, while NPH insulin has a slower onset and longer duration. When used together, they mimic the body's natural insulin release pattern, offering both immediate and sustained glucose control throughout the day.

B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose.": NPH does not alter how regular insulin is metabolized. Each insulin type acts independently, and NPH does not preserve or enhance the activity of regular insulin.

C. "The combination negates the risk of adverse effects that would likely accompany a single, larger dose.": The primary reason for using two types is to align insulin activity with the body’s varying needs. Risk reduction from side effects is not the primary purpose.

D. "NPH stimulates the pancreas to produce more insulin, while regular insulin provides your body's short-term needs.": NPH insulin is synthetic and does not stimulate pancreatic insulin production. Clients with type 1 diabetes lack insulin production altogether, so both types must be provided exogenously.

A. Reduce calorie intake to reduce acid production: While diet can influence acid production, this is not a primary teaching point for antacid use. Antacids work by neutralizing stomach acid, not by reducing acid production through dietary changes.

B. Take before each meal and before bed: Antacids are usually taken after meals and at bedtime for maximum effectiveness. Taking them before meals may reduce their ability to neutralize acid produced during digestion.

C. Be aware of risk of acid rebound with long-term use: Long-term use of antacids, particularly those containing calcium carbonate, can lead to acid rebound where the stomach produces more acid in response to the medication.

D. Consider liquid diet if diarrhea occurs: Diarrhea may occur with magnesium-containing antacids, but switching to a liquid diet is not the standard recommendation. Instead, evaluating the antacid formulation or changing the medication would be more appropriate.