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 D
Explanation
Rationale:
A. Glucose levels are not directly affected by hyperthyroidism and are typically within the normal range unless the client has diabetes or another condition.
B. Triiodothyronine (T3) levels are elevated in hyperthyroidism due to excessive thyroid hormone production.
C. Thyroxine (T4) levels are also elevated in hyperthyroidism.
D. Thyroid stimulating hormone (TSH) is suppressed in hyperthyroidism because the thyroid gland produces excessive hormones, causing a negative feedback loop that reduces TSH levels.
Correct Answer is D
Explanation
Rationale:
A. Hyperglycemia typically presents with polyuria, thirst, and blurred vision, rather than sweating and shakiness.
B. Diabetic ketoacidosis presents with symptoms like deep breathing (Kussmaul respirations), fruity breath, and confusion, not sweating and tachycardia.
C. Nephropathy does not cause these acute symptoms; it is a long-term complication involving kidney damage.
D. Hypoglycemia presents with symptoms such as sweating, tachycardia, shakiness, and lightheadedness, which match the client's presentation.