A client is learning to inject his own insulin. Which of the following nursing observations would indicate to the nurse that the client needs further teaching?

A client is learning to inject his own insulin. Which of the following nursing observations would indicate to the nurse that the client needs further teaching?

A client is learning to inject his own insulin. Which of the following nursing observations would indicate to the nurse that the client needs further teaching?



1. Wipes the top of the insulin vial with alcohol
2. Withdraws the prescribed amount of insulin within 0.2 mL
3. Refers to the abdominal injection chart and chooses a previously unused site
4. Keeps the insulin in the refrigerator and prepares and injects it immediately

Rationale: (4)
Cold insulin increases the risk of lipodystrophy. All extra unopened bottles may be stored in the refrigerator, but the bottle currently being used should remain at room temperature, and the insulin should be injected at room temperature. Insulin should not be subjected to extreme temperatures, but it is stable at room temperature. (Lehne, 7 ed., p. 670; Lewis, et al, 8 ed., pp. 1226, 1227.)


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