The nurse is evaluating a client with diabetes mellitus, type 1 who was taught about self-administration of prescribed insulin. Which of the following actions by the client would indicate that more teaching is needed?
Rubbing the injection site after the insulin is injected
Injecting the needle at a 90-degree angle
Preparing to inject the insulin by grasping the skin
Identifying a pattern for rotation of injection sites
The Correct Answer is A
A. Rubbing the injection site after insulin administration is not recommended, as it can increase the risk of bruising or irritation. Insulin should be injected into the subcutaneous tissue, and massaging or rubbing the site can cause the insulin to be absorbed too quickly, leading to unpredictable blood sugar levels.
B. Injecting the needle at a 90-degree angle is the correct technique for subcutaneous insulin injection, especially when using shorter needles. A 90-degree angle ensures the insulin is delivered into the subcutaneous tissue.
C. Grasping the skin helps to ensure that the insulin is injected into the subcutaneous layer and not into the muscle, which can affect absorption.
D. Rotating injection sites is important to prevent tissue damage or lipodystrophy (thickening or atrophy of the skin). Following a pattern helps ensure that insulin is injected into different areas for consistent absorption.
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Related Questions
Correct Answer is D
Explanation
A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.
Correct Answer is D
Explanation
A. Legumes (such as beans, lentils, and peas) have a low glycemic index. They are high in fiber and protein, which helps slow the absorption of carbohydrates and keep blood sugar levels stable.
B. Grilled chicken is a protein source and does not significantly affect the glycemic index since proteins do not cause a rise in blood sugar.
C. Root vegetables like carrots, sweet potatoes, and beets generally have a moderate glycemic index. While they do impact blood sugar, they do not cause as significant an increase as high-glycemic foods.
D. Mashed potatoes, especially if prepared without the skin, have a high glycemic index. The processing of potatoes into a mashed form increases their rate of digestion and absorption, causing a more rapid increase in blood sugar levels
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