The nurse makes a home visit to a client with diabetes mellitus. During the visit, the nurse notes that the client's 3-month supply of insulin vials that were delivered a week ago are not refrigerated. What is the best action by the nurse at this time?

1. Instruct the client that the insulin should be stored away from direct sunlight or excessive heat.
2. Have the client discard the vials.
3. Instruct the client to label each vial with the date when opened.
4. Tell the client this is too much insulin to have on hand.


1
Rationale 1: Unopened vials can be stored at room temperature but should be stored away from direct sunlight or direct heat.
Rationale 2: There is no need to discard the vials.
Rationale 3: Writing the date of opening on the vial is good practice but does not address the need to refrigerate additional vials.
Rationale 4: There is no indication that this is too much insulin to have on hand.
Global Rationale: Unopened vials can be stored at room temperature but should be stored away from direct sunlight or direct heat. There is no need to discard the vials. Writing the date of opening on the vial is good practice but does not address the need to refrigerate additional vials. There is no indication that this is too much insulin to have on hand.

Nursing

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