A patient who has been prescribed exenatide (Byetta) reports a weight loss of 11 lb in the last month. What is the nurse's best action?
a. Hold the next dose and contact the prescriber immediately.
b. Ask the patient to keep a daily diary of all foods eaten for the next month.
c. Reassure the patient that this is an expected effect of the drug and no action is needed.
d. Instruct the patient to skip one dose of the drug per day and increase his or her daily calories.
C
The actions of exenatide include reducing the sensation of hunger and slowing the rate that food leaves the stomach. Both these actions help the patient eat less and lose weight, a desired outcome for patients with type 2 diabetes. An 11-lb pound weight loss in 1 month is not excessive and no action needs to be taken at this time.
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