A client who has used insulin for diabetes control for 20 years has a spongy swelling at the site used most frequently for insulin injection. Which is the nurse's best action?
a. Apply ice to this area for 20 minutes.
b. Document the finding in the client's chart.
c. Assess the client for other signs of celluli-tis.
d. Instruct the client to use a different site for injection.
D
The client has lipohypertrophy as a result of repeated injections at the same site. Avoiding this site for an extended period of time allows dystrophic changes to regress or at least not to become worse. The other actions are not needed.
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