Nurse Andy has finished teaching a client with diabetes mellitus how to administer insulin. He evaluates the learning has occurred when the client makes which statement?
A. "I should check my blood sugar immediately prior to the administration."
B. "I should provide direct pressure over the site following the injection."
C. "I should use the abdominal area only for insulin injections."
D. "I should only use a calibrated insulin syringe for the injections."
Correct Answer: D. “I should only use a calibrated insulin syringe for the injections.”
To ensure the correct insulin dose, a calibrated insulin syringe must be used. Insulin syringes are used only to deliver units of insulin. To decrease dosage error, insulin syringes are calibrated in units and not milliliters. Insulin syringes are available in three sizes: 100 unit (1 mL), 50 unit (0.5 mL), and 30 unit (0.3 mL)
Option A: There is no need to check blood glucose immediately prior to the injection. Testing is usually recommended before meals and at bedtime if taking multiple daily injections. You may need to test only before breakfast and dinner if you use just an intermediate- or long-acting insulin.
Option B: There is no need to apply direct pressure over the site following an insulin injection. After the dose has been injected, hold the needle in for a good 10 seconds to help insulin get delivered and prevent any of the dose from escaping out.
Option C: Insulin injections should be rotated to the arm and thigh, not just the abdominal area. Each of the main four areas (abdomen, buttocks, outer thighs, and upper arms) should give a good area of flesh to inject into. Using different areas of the body to inject into is insulin injection site rotation.
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