The nurse is discussing insulin administration with an assigned patient. The patient reports that she prefers to use only certain sites for insulin injections and questions the need to rotate sites. What response by the nurse is most appropriate?
a. "Rotating injection sites helps reduce your risk of infection."
b. "Rotating injection sites helps enhance insulin absorption."
c. "Unsightly fatty tumors can develop when you do not adequately rotate injection sites."
d. "Rotating injection sites decreases your risk of an insulin reaction."
B
Insulin injections are rotated within one body area to enhance absorption. Patients are given charts showing the places on the arms, legs, buttocks, and abdomen where insulin can be in-jected. Patients should be encouraged to keep a daily record of injection sites to help remember which sites have been used and to avoid the problem of altered or erratic absorption, which is a complication associated with overuse of a single site. The most important way to reduce the in-cidence of infection is to wash the hands before insulin administration and to avoid reusing sy-ringes. Fatty tumors are not complications of overuse of a single injection site. The term insulin reaction refers to hypoglycemia, and hypoglycemia is not directly associated with the failure to rotate injection sites.
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