Final answer:
The client's need for further understanding is indicated by their statement about taking acarbose one hour before meals. Acarbose should be taken with the first bite of each main meal. Other statements about experiencing gas, checking blood sugar, and taking it three times a day are correct. - "I must take this medication one hour before I eat."
Step-by-step explanation:
The student's question relates to understanding the administration and side effects of the medication acarbose (Precose), which is used in the management of type 2 diabetes. The statement that indicates a need for further understanding is: "I must take this medication one hour before I eat." Acarbose should be taken with the first bite of each main meal, not one hour prior. It helps to slow down the digestion of carbohydrates, thereby preventing rapid increases in blood sugar level after meals.
Experiencing gas is a common side effect of acarbose due to its effects on carbohydrate digestion in the intestine. Advising the client to check blood sugar at least three times a day is appropriate, especially while adjusting to the medication, as this can help to monitor the drug's effectiveness and the patient's response to treatment. The client's understanding that the medication should be taken three times a day, typically coinciding with the three main meals, is also correct.