A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?
A) Change the needle daily with each injection.
B) Rotate the site with each injection.
C) Apply local anesthetic to the injection site.
D) Massage the injection site for 10 minutes.
Ans: B
The nurse should tell the client to rotate the injection site each time an insulin injection is administered to prevent lipoatrophy and lipohypertrophy. In case of an insulin injection, the needle need not be changed daily but rather after a specific period specified by the manufacturer on the injection. Local anesthetic need not be applied to the injection site when administering insulin as the needle used causes very little discomfort. There is also no need to massage the injection site when insulin is administered. Massaging is contraindicated when heparin is administered, because this can increase the tendency for local bleeding.
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