The nurse is preparing to administer insulin to an underweight ...

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The nurse is preparing to administer insulin to an underweight patient. Which actions should the nurse take when providing this injection?
 
  Select all that apply.
  1. Ensure insulin is at room temperature.
  2. Make sure no air bubbles are present in the syringe.
  3. Massage the site of insertion.
  4. Rotate injection sites.
  5. Insert the needle at a 90-degree angle.

Question 2

A patient beginning insulin for type 2 diabetes is experiencing blurred vision and is concerned about becoming blind. What response by the nurse is most appropriate?
 
  1. I will make an appointment for you to see an ophthalmologist.
  2. I will call the physician to report your symptoms.
  3. Blurry vision is very common. Do not worry.
  4. This is a normal response when insulin therapy is initiated.

[Shshxj]

Answer to Question 1

Correct Answer: 1, 2, 4
Insulin is used at room temperature. No air bubbles should be in the syringe. This will reduce complications and will aid in ensuring correct dosages. Massage of administration sites will alter absorption rates. Insulin injection sites should be rotated. The thin individual will require an administration angle of 45 degrees.

Answer to Question 2

Correct Answer: 4
Vision changes are normal during the first weeks of insulin therapy. They will gradually resolve. It is beyond the scope of practice for the nurse to make a referral to another physician. Contacting the physician is premature. Telling the patient it is nothing minimizes the concerns voiced, and does not provide adequate information to the patient.

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Gracias!

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