A patient reports neglecting to systematically rotate insulin injection sites. Which of the follow-ing changes in the injected subcutaneous tissue could develop as a result of the patient's neglect?
a. Saucer-like depression
b. Lumps of fat
c. Soreness or induration
d. Red and intensely itchy skin
ANS: B
Lipohypertrophy, or fatty thickening of the lipid tissues, slows insulin absorption and is best pre-vented by rotation of injection sites. It is triggered by the insulin, which stimulates fat synthesis.
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1. 16 2. 17 3. 18 4. 19
Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane?
a. "Rescue the victims.". b. "Plan to prevent such disasters.". c. "Give immediate first aid and medical care to the victims.". d. "Evacuate the injured to medical facili-ties.".