A nurse is reinforcing teaching with a client who was diagnosed with diabetes mellitus and requires insulin injections. Which of the following client statements indicates an understanding of the teaching?
"I should dispose of my used syringes in the household trash."
"I will store my current bottle of insulin in the refrigerator."
“I will hold the needle at a 15° angle to my skin."
“I should use an injection site that is 1 inch from the previous site.“
The Correct Answer is B
A. Disposing of used syringes in the household trash poses a risk of accidental needle sticks to others. The correct method of disposal is using a puncture-resistant container.
B. Storing the current bottle of insulin in the refrigerator is the correct practice to maintain the stability and effectiveness of the insulin. Insulin should be kept refrigerated until opened and
then can be kept at room temperature for up to 28 days.
C. Holding the needle at a 15° angle to the skin is not the recommended technique for insulin injection. The correct angle for subcutaneous insulin injection is usually 45 or 90 degrees, depending on the client's body habitus and the length of the needle.
D. Using an injection site that is 1 inch from the previous site may lead to lipohypertrophy, a condition characterized by fatty tissue buildup under the skin, which can affect insulin absorption. It is recommended to rotate injection sites to avoid this complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- A: Completing an incident report is an important step after addressing any immediate risks to the patient. It is a part of the process to document errors and prevent future occurrences, but it does not take precedence over the patient's immediate safety.
- B: Allowing the current solution to finish could harm the patient, depending on the contents of the IV solution and the patient's condition. Immediate action is required to prevent potential adverse effects.
- C: Documentation in the medical record is crucial, but it should be done after the error has been corrected and the patient's safety is ensured. The immediate priority is to address the error.
- D: Stopping the infusion is the most immediate and appropriate action to prevent further harm to the patient. Once the infusion is stopped, the nurse can then take further steps to correct the error and follow up with the necessary documentation and reports.
Correct Answer is C
Explanation
A. Providing a low-protein diet is not indicated for managing sickle-cell disease or vasoocclusive crisis. In fact, adequate protein intake is important for tissue repair and healing.
B. Applying cold compresses to painful areas may exacerbate vaso-occlusive crisis by causing vasoconstriction, which can further impede blood flow to affected tissues.
C. Performing passive range-of-motion exercises helps prevent complications associated with immobility during a vaso-occlusive crisis, such as muscle atrophy and joint contractures, and promotes circulation and pain relief.
D. Limiting fluid intake during the evening is not typically recommended for individuals with sickle-cell disease, as adequate hydration is essential for preventing dehydration and maintaining circulation, especially during a vaso-occlusive crisis.
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