The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections. The patient questions why rotation of the sites is important. What response by the nurse is most appropriate?

"Unsightly fatty tumors can develop when you do not adequately rotate injection sites."

"Rotating your injection sites will help to reduce your risk of infection."

"Failing to rotate injection sites will improve your ability prevent an insulin reaction."

"Rotating your injection sites will help to reduce your risk for lipodystrophy."

Answer and Explanation

The Correct Answer is D

A. "Unsightly fatty tumors can develop when you do not adequately rotate injection sites.": While lipohypertrophy (fatty lumps under the skin) can develop from repeated use of the same injection site, the main reason for rotating sites is to avoid this and lipodystrophy.

B. "Rotating your injection sites will help to reduce your risk of infection.": Rotating injection sites can help prevent lipodystrophy, but it does not directly reduce the risk of infection. Proper technique is more important for preventing infection.

C. "Failing to rotate injection sites will improve your ability to prevent an insulin reaction.": Failing to rotate injection sites does not prevent insulin reactions. In fact, using the same site too often can cause insulin absorption problems and potentially affect blood glucose control.

D. "Rotating your injection sites will help to reduce your risk for lipodystrophy.": Lipodystrophy (which includes lipohypertrophy and lipoatrophy) can occur when insulin is repeatedly injected into the same site. Rotating injection sites helps to reduce the risk of these issues and ensures consistent insulin absorption.

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Correct Answer is D

Explanation

A. Give half the prescribed dose and notify the registered nurse (RN): The symptoms described indicate a serious side effectof potassium iodide, such as agranulocytosis(a decrease in white blood cells), and a dose reduction is not recommended in this situation.

B. Continue to administer the medication: Continuing the medication without addressing the symptoms is unsafe. Fever, sore throat, and mouth ulcersare warning signsof a serious adverse effect, such as agranulocytosis, and continuing the medication could cause harm.

C. Stop the medication for 24 hours: Simply stopping the medication for a short period of time is not sufficient. The symptoms need to be reported immediately, and potassium iodideshould be withheld pending further evaluation by the healthcare provider.

D. Withhold the medication and notify the RN: Fever, sore throat, and mouth ulcersare potential signs of a serious adverse reactionlike agranulocytosis, which requires immediate attention. The nurse should withhold the medicationand inform the healthcare provider for further evaluation and guidance.

A. Sore throat B. Excitability C. Muscle aches D. Weight loss

Correct Answer is A

Explanation

A. Sore throat: A sore throat could be a sign of agranulocytosis, a serious side effect of propylthiouracil (PTU), which can lower the white blood cell count, leading to a weakened immune system. It is essential to report this symptom to the physician immediately, as this may indicate a need for discontinuing the medication or adjusting the treatment plan.

B. Excitability: Excitability is not typically a serious side effect of PTU. In fact, hyperthyroidism itself can cause symptoms like anxiety and nervousness, but these are not as critical as other potential adverse effects like agranulocytosis.

C. Muscle aches: While muscle aches can occur in people with hyperthyroidism or as a side effect of medications, they are not as concerning as sore throat in the case of PTU therapy. Muscle aches are more common in hypothyroid conditions or as a non-specific symptom.

D. Weight loss: Weight loss can be a symptom of hyperthyroidism, but it is not as urgent as the potential for agranulocytosis and is not a reason to immediately report to the physician unless it is extreme or accompanied by other symptoms of serious complications.

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The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections. The patient questions why rotation of the sites is important. What response by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?

Correct Answer is A

Explanation

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