A nurse is showing an elderly client the correct method of self-administering an insulin injection at home using an insulin pen. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?

A) Change the needle daily.
B) Rotate the site with each injection.
C) Apply local anesthetic to the injection site a few minutes prior to injection.
D) Massage the injection site for 30 seconds after administration.


B
Feedback:
The nurse should tell the client to rotate the injection site each time an insulin injection is administered to prevent lipoatrophy and lipohypertrophy. The needle should be changed after each injection, not only once per day. Local anesthetic need not be applied to the injection site when administering insulin as the needle used causes very little discomfort. There is also no need to massage the injection site when insulin is administered.

Nursing

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