A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Rotate the injection site to keep insulin levels consistent.
Massage the site after injection to promote absorption.
Insulin is absorbed most rapidly when injected in the thigh.
Use cold insulin for injection to minimize site pain.
The Correct Answer is A
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.
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View Related questions
Correct Answer is A
Explanation
Rationale:
A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.
Correct Answer is D
Explanation
Rationale:
A. Insulin vials should be gently rolled between the hands, not shaken vigorously, to avoid bubbles and damage to the insulin.
B. The client should decrease insulin before exercise to prevent hypoglycemia, as physical activity lowers blood glucose levels.
C. Insulin should never be frozen; it should be stored in the refrigerator or at room temperature once opened.
D. The abdominal area is the preferred site for insulin injections because it allows for more consistent absorption of the medication.