The nurse is teaching the client to self-administer insulin. The client is 5 feet tall and weighs 197 pounds. Which does the nurse include in client teaching?
1. Insert the needle into abdominal tissue at 90-degree angle.
2. Include an air space when drawing up the prescribed dose.
3. Aspirate before injecting to ensure needle is not in a vessel.
4. Instruct client to use an insulin syringe with a 1-inch needle.
1
1. The nurse instructs the client to insert the needle at a 90-degree angle to inject in-sulin into subcutaneous tissue because the client is obese and likely to have excessive abdominal adipose tissue. The -inch needle is long enough to reach subcutaneous tissue for proper administration of insulin but not long enough to reach muscle.
2. The nurse instructs the client to remove all air bubbles from the syringe before administering the insulin.
3. Aspiration is unnecessary for subcutaneous injections because the tissue is avas-cular.
4. A 1-inch needle is unnecessary because a -inch needle reaches the same subcuta-neous tissue in this client as a 1-inch needle.
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