The nurse is teaching a patient to self-administer insulin. The patient is 5 feet tall and weighs 197 pounds. Which of the following does the nurse include in patient teaching?
a. Insert the needle into abdominal tissue at a 90-degree angle.
b. Include an air space when drawing up the prescribed dose.
c. Aspirate before injecting to ensure that the needle is not in a vessel.
d. Instruct the patient to use an insulin sy-ringe with a 1-inch needle.
A
The nurse instructs the patient to insert the needle at a 90-degree angle to inject insulin into sub-cutaneous tissue because the patient is obese and likely to have excessive abdominal adipose tis-sue. The 5/8-inch needle is long enough to reach subcutaneous tissue for proper administration of insulin but not long enough to reach muscle. The nurse instructs the patient to remove all air bubbles from the syringe before administering the insulin. Aspiration is unnecessary for subcu-taneous injections because the tissue is avascular. A 1-inch needle is unnecessary because a 5/8-inch needle reaches the same subcutaneous tissue in this patient as a 1-inch needle.
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