The nurse has been caring for an adolescent newly diagnosed with type 1 diabetes mellitus. The nurse provides instructions to the adolescent regarding the administration of insulin. The nurse tells the adolescent to:
1. Use only the stomach and thighs for injections.
2. Rotate each insulin injection site on a daily basis.
3. Use the same site for injections for 1 month before rotating to another site.
4. Use one major site for the morning injection and another site for the evening in-jection for 2 to 3 weeks before changing major sites.
4
Rationale: To help decrease variations in absorption from day to day, the child should use one location within a major site for the morning injection, rotating to another site for the evening in-jection, and a third site for the bedtime injection if needed. This pattern should be continued for a period of 2 to 3 weeks before changing major sites. "Use only the stomach and thighs for injec-tions," "rotate each insulin injection site on a daily basis," and "use the same site for injections for 1 month before rotating to another site" are incorrect instructions to the adolescent.
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