A nurse is educating a client about self-administering regular insulin.The nurse understands that the injection of insulin can cause lipohypertrophy.
What should be included in the nurse's education to prevent lipohypertrophy?
Instruct the client to rotate injection sites.
Instruct the client to perform injection sites at the same location every time.
Instruct the client to administer an additional dose if needed.
Instruct the client to take the medication orally if injection is not possible.
The Correct Answer is A
Choice A rationale
Rotating injection sites helps prevent lipohypertrophy, which is the thickening of subcutaneous tissue due to repeated insulin injections at the same site.
Choice B rationale
Performing injections at the same location every time increases the risk of lipohypertrophy, leading to poor insulin absorption and erratic glucose control.
Choice C rationale
Administering an additional dose of insulin as needed does not address the issue of lipohypertrophy and can lead to hypoglycemia if not carefully monitored.
Choice D rationale
Insulin is a peptide hormone that must be injected. Taking it orally is ineffective as it would be broken down in the digestive system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Calcium channel blockers are used to treat hypertension and angina, not as cytotoxic chemotherapy agents.
Choice B rationale
Antimetabolites are a class of chemotherapy agents that interfere with DNA and RNA synthesis, making them cytotoxic and effective in treating cancer.
Choice C rationale
Diuretics are used to remove excess fluid from the body and are not cytotoxic chemotherapy agents.
Choice D rationale
Antibiotics are used to treat bacterial infections and are not classified as cytotoxic chemotherapy agents.
Correct Answer is D
Explanation
Choice A rationale
Intravenous, intramuscular, and intradermal routes bypass the first-pass effect as they do not pass through the liver first.
Choice B rationale
Enteric-coated tablets and capsules are designed to bypass the stomach and dissolve in the intestines, reducing the first-pass effect.
Choice C rationale
The first-pass effect involves the liver metabolizing and inactivating a portion of the medication on its first pass through the liver.
Choice D rationale
Enteral medications, which pass through the digestive system, may require higher doses due to the first-pass effect where the liver metabolizes the medication before it reaches systemic circulation. .
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