Author Question: The nurse is educating a patient about diabetes. Based on recommendations from the American Diabetes ... (Read 32 times)

washai · **on:** Jul 24, 2018

The nurse is educating a patient about diabetes. Based on recommendations from the American Diabetes Association, which statement by the nurse is best regarding site rotation?

a. Insulin injection sites should always be in the abdomen to ensure absorption into the stomach.
b. It is important to rotate injection sites systematically within one area before progressing to a new site for injection.
c. Following exercise, site rotation is not indicated because the circulation in the muscles will absorb the medication efficiently.
d. If you aspirate, site rotation can be done every other day to avoid developing problems with absorption.

Question 2

Which technique by the nurse is accurate when administering heparin to a thin, older adult patient?

a. Aspirate before injecting the medication.
b. Inject at a 45-degree angle.
c. Inject at a 90-degree angle.
d. Massage site following injection.

Natalie4ever · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: B
The American Diabetes Association Clinical Practice recommendations include rotating injections systematically at one site before progressing to another. Insulin is not absorbed into the stomach. Failure to rotate sites can result in lipohypertrophy or lipoatrophy. When subcutaneous (subcut) insulin is administered, aspiration should never be performed.

Answer to Question 2

ANS: B
For thin individuals, the skin may need to be pinched and a 45-degree angle used to avoid administration into the muscle. Heparin should never be aspirated. Subcut injections are properly administered at a 45-degree angle. The injection site of heparin should never be massaged.