The nurse is educating a patient about diabetes. Based on recommendations from the American Diabetes Association, which statement by the nurse is best regarding site rotation?
a. "Insulin injection sites should always be in the abdomen to ensure absorption into the stomach."
b. "It is important to rotate injection sites systematically within one area before progressing to a new site for injection."
c. "Following exercise, site rotation is not indicated because the circulation in the muscles will absorb the medication efficiently."
d. "If you aspirate, site rotation can be done every other day to avoid developing problems with absorption."
ANS: B
The American Diabetes Association Clinical Practice recommendations include rotating injections systematically at one site before progressing to another. Insulin is not absorbed into the stomach. Failure to rotate sites can result in lipohypertrophy or lipoatrophy. When subcutaneous (subcut) insulin is administered, aspiration should never be performed.
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