Insulin self-administration teaching
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A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?
"Pull back on the plunger after injecting the insulin."
"Massage the injection site after removing the needle."
"Store the current bottle of insulin at room temperature."
"Use each syringe up to six times."
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Step by Step Written Solution
In this pharmacology question, we need to identify the correct instruction for a client newly diagnosed with Type 1 diabetes regarding the self-administration of insulin.
Client Education: Insulin Self-Administration
Let's evaluate each option to see which aligns with standard medical practice.
Evaluating the Options
The first option suggests pulling back on the plunger, also known as aspiration, after injecting. This is incorrect. Aspiration is not recommended for subcutaneous insulin injections as it can cause tissue trauma.
1. Aspiration: Pull back on plunger after injecting.
The second option suggests massaging the injection site. This is also incorrect because massaging the area after administration can alter the absorption rate of the insulin and potentially lead to hypoglycemia.
2. Massage: Rub the site after removing the needle.
The third option recommends storing the current bottle of insulin at room temperature. This is actually a correct piece of advice. While unopened insulin should be refrigerated, the vial currently in use can stay at room temperature for up to twenty-eight to thirty days to minimize local irritation at the injection site.
3. Storage: Store the current bottle at room temperature.
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