A nurse at a health care facility is assigned to administer insulin to the client. Which of the following interventions should the nurse perform before administering each insulin dose?

A) Inspect the previous injection site for inflammation.
B) Keep prefilled syringes horizontally.
C) Check for symptoms of myalgia or malaise.
D) Mix the insulin with sterile water in the syringe.


Ans: A
Feedback:
The nurse should check the previous injection site before administering each insulin dose. The injection sites should be rotated to prevent lipodystrophy. Prefilled syringes should not be kept horizontally; they should be kept in a vertical or oblique position to avoid plugging the needle. The nurse checks for symptoms of myalgia or malaise when administration of metformin leads to lactic acidosis. Insulin should not be mixed with other drugs in the syringe. Some types of insulin may be combined in one syringe, but sterile water is never used.

Nursing

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