Insulin therapy is initiated to a client with uncontrolled increase in blood sugar glucose. Which of the following instructions is the most appropriate for the client?
  1. Apply heat to injection areas to relieve discomforts
  2. Administration to scar tissues should be prevented, as it can increase insulin absorption
  3. Injection sites can be used thrice in a 2 to 3-week period
  4. Administration of insulin should be continued during periods of stress and infection
Explanation
Answer: D - Insulin administration must be continued during periods of stress, infection, and surgery. Heat applications to injection sites must be avoided, as it can increase the absorption of insulin, resulting in hypoglycemia; administration to scar tissues is avoided to prevent delay of insulin absorption. Injections sites must not be used more than once during a 2 to 3-week period.
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