The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration. Which statement by the patient indicates a need for further teaching?
a. "I may use a chosen site daily for up to a week."
b. "I should give each injection a knuckle length away from a previous injection."
c. "I will not be concerned about a raised knot under my skin from injecting insulin."
d. "Insulin is absorbed better from subcutaneous sites on my abdomen.
ANS: C
Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated injections into the same site, and this can interfere with insulin absorption. Patients are encouraged to use the same site for a week, giving each injection a knuckle length away from the previous injection. Insulin absorption is greater when given in abdominal areas.
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