The home care nurse is caring for an older adult patient with visual impairment who cannot see the numbers on the syringe when preparing insulin for administration and cannot afford the increased cost of prefilled auto syringes
What strategy might the nurse use to help this patient comply with insulin needs between visits? A) Change the patient to oral antidiabetics.
B) Prepare a week's supply of syringes and refrigerate.
C) Have the patient use a magnifying glass.
D) Ask a neighbor to come over every day to prepare the medication.
B
Feedback:
Older adults can have many underlying problems that complicate diabetic therapy. Poor vision and/or coordination may make it difficult to prepare a syringe. A week's supply of syringes can be prepared and refrigerated for the usual dose of insulin. If the patient is using insulin it is most likely because oral antidiabetic medications don't work. A magnifying glass is impractical because drawing up medication requires two hands and a magnifying glass will not help the patient to see well enough to be safe. It is a big imposition to expect a neighbor to be constantly available and this would not be the best choice.
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