Insulin Administration Patient Teaching
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A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?
Keep the open vial of insulin at room temperature.
Inject the insulin into a large muscle.
Aspirate the medication prior to administration.
Administer the insulin in two separate injections.
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Step by Step Written Solution
In this pharmacology question, we need to identify the correct teaching instruction for a client starting a regimen of Regular insulin and NPH insulin.
Insulin Administration Teaching
Let's evaluate each option based on standard nursing practice guidelines for insulin administration.
Option one suggests keeping the open vial of insulin at room temperature. This is actually a standard practice. Open vials currently in use can be kept at room temperature for up to one month to reduce injection site irritation, as cold insulin can be more painful to inject.
1. Keep open vial at room temperature
Now let's look at option two, injecting into a large muscle. This is incorrect. Insulin is intended for subcutaneous injection, which means into the fatty tissue, not the muscle. Intramuscular injection leads to faster, unpredictable absorption rates.
2. Inject into a large muscle $(\times)$
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