A nurse is educating a client about self-administering regular insulin.The nurse understands that the injection of insulin can cause lipohypertrophy.
What should be included in the nurse's education to prevent lipohypertrophy?
Instruct the client to rotate injection sites.
Instruct the client to perform injection sites at the same location every time.
Instruct the client to administer an additional dose if needed.
Instruct the client to take the medication orally if injection is not possible.
The Correct Answer is A
Choice A rationale
Rotating injection sites helps prevent lipohypertrophy, which is the thickening of subcutaneous tissue due to repeated insulin injections at the same site.
Choice B rationale
Performing injections at the same location every time increases the risk of lipohypertrophy, leading to poor insulin absorption and erratic glucose control.
Choice C rationale
Administering an additional dose of insulin as needed does not address the issue of lipohypertrophy and can lead to hypoglycemia if not carefully monitored.
Choice D rationale
Insulin is a peptide hormone that must be injected. Taking it orally is ineffective as it would be broken down in the digestive system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
Correct Answer is A
Explanation
Choice A rationale
Metoprolol is a beta-adrenergic blocker that works by decreasing heart rate, myocardial contractility, and cardiac output. It is commonly used to treat hypertension by reducing the workload on the heart and lowering blood pressure.
Choice B rationale
Nitroglycerin is a vasodilator that is used to treat angina by dilating blood vessels and improving blood flow to the heart. It does not have the same mechanism of action as beta-adrenergic blockers.
Choice C rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps relax blood vessels and lower blood pressure. It does not directly decrease heart rate or myocardial contractility like beta-adrenergic blockers.
Choice D rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver. It is not used to treat hypertension and does not have the same mechanism of action as beta-adrenergic blockers.
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