Practice Question
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
Answer Choices:
Correct Answer:
"l will be sure my child aspirates before injecting the insulin."
Rationale:
🔶 Aspirating before injecting insulin is no longer recommended. It was previously done to check for blood vessels, but it is unnecessary for subcutaneous insulin injections because insulin is injected into fatty tissue, where blood vessels are minimal.
🔶 The focus should be on proper technique such as injecting at a 90-degree angle and ensuring the injection site is appropriate, not on aspirating.
🔶 Aspiration is no longer needed and can make the injection process uncomfortable for the child.
🔶 The latest guidelines emphasize injecting at the correct angle and rotating sites, not aspirating.
🔶 Therefore, the parent needs further teaching regarding the outdated practice of aspiration.
"The insulin should be injected at a 90-degree angle."
🔶 This is correct. Insulin should be injected at a 90-degree angle to ensure proper subcutaneous delivery of insulin.
🔶 Injecting at the correct angle helps ensure the insulin is deposited into fatty tissue rather than muscle, which could affect absorption.
"The insulin can be injected anywhere there is adipose tissue."
🔶 This is correct. Insulin can be injected into any area with adipose tissue, like the abdomen, thighs, or upper arms.
🔶 Rotating between different injection sites is essential to prevent lipodystrophy, a condition that can affect the absorption of insulin.
"I will be sure my child rotates sites after 5 injections in one area."
🔶 This is correct. Site rotation after approximately 5 injections in one area helps avoid lipohypertrophy, which can cause irregular insulin absorption and lumps or bumps in the tissue.
🔶 Site rotation ensures better and more consistent insulin absorption and reduces tissue damage.
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This question is from Custom NUR 2241 Pediatric Final Exam which contains 40 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4