A nurse is reinforcing education about administering insulin with a client newly diagnosed with type 1 diabetes mellitus. Which of the following statements by the nurse about injection site selection is accurate?
"Injections should be administered into the fatty part under your skin.”
"If you run out of insulin syringes, it is ok to use another type of syringe, as long as you are sure you are administering the correct dose”
"Injections will work most quickly when given deeply into the gluteus muscle.”
“If you are eating there is no need to check glucose before administration."
The Correct Answer is A
A. "Injections should be administered into the fatty part under your skin.": Subcutaneous tissue, typically in the abdomen, thigh, or upper arm, allows for slower, more consistent absorption of insulin. Injecting into the fatty layer reduces the risk of rapid absorption or injury to underlying muscle or blood vessels.
B. "If you run out of insulin syringes, it is ok to use another type of syringe, as long as you are sure you are administering the correct dose.": Using syringes designed for different insulin concentrations or volumes can lead to dosing errors and hypoglycemia or hyperglycemia. Only the correct syringe type for the insulin concentration should be used.
C. "Injections will work most quickly when given deeply into the gluteus muscle.": Intramuscular injection accelerates insulin absorption unpredictably and increases the risk of hypoglycemia. Insulin should not be injected into muscle unless specifically prescribed for rapid absorption in exceptional circumstances.
D. "If you are eating there is no need to check glucose before administration.": Blood glucose should be checked before insulin administration to prevent hypoglycemia. Skipping glucose monitoring can be dangerous, especially with rapid-acting insulin.
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Related Questions
Correct Answer is C
Explanation
A. Ignore the client's concerns and proceed with administration:Ignoring the client’s concerns violates patient autonomy and informed consent principles. Administering medication without addressing questions can lead to noncompliance, mistrust, or errors.
B. Ask another nurse to administer the medication:Delegating the medication without addressing the client’s concerns does not resolve the underlying issue. The nurse must first ensure the client understands and consents to the medication.
C. Inquire about the client's concerns and provide education:The nurse should first listen to the client’s questions and provide accurate, clear information about the medication. This approach supports informed decision-making, promotes adherence, and ensures patient safety.
D. Administer the medication to avoid delay:Giving the medication without addressing concerns could compromise the client’s safety and autonomy. Education and clarification must precede administration when questions are raised.
Correct Answer is B
Explanation
A. Encourage the patient to take oral contraceptives at the same time every day to improve effectiveness:Taking oral contraceptives at the same time each day improves contraceptive effectiveness and maintains stable hormone levels. However, consistent timing does not address the significant cardiovascular and thromboembolic risk associated with heavy cigarette smoking. Safety considerations take priority over effectiveness teaching in this scenario.
B. Advise the patient to quit smoking before starting oral contraceptives due to increased risk of blood clots, myocardial infarction, and stroke:Smoking 20 cigarettes per day significantly increases the risk of venous thromboembolism, myocardial infarction, and stroke when combined with estrogen-containing oral contraceptives. Counseling on smoking cessation is a priority to reduce life-threatening complications.
C. Instruct the patient to monitor for signs of nausea and mood changes as common side effects of oral contraceptives:Nausea and mood changes are common side effects of oral contraceptives but are generally mild and non–life-threatening. Monitoring for these effects does not address the patient’s elevated risk for serious cardiovascular events. Priority nursing actions focus on preventing severe adverse outcomes.
D. Recommend the patient increase fat intake to reduce the risk of blood clots while taking oral contraceptives:Increasing dietary fat does not reduce the risk of thromboembolism and may worsen cardiovascular risk factors. There is no evidence supporting fat intake as a protective measure against blood clots. This recommendation contradicts evidence-based cardiovascular health guidance.
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