Mrs. Thomas, newly admitted to your unit this morning, presents with lipodystrophy on both upper thighs. It would be most important to assess which of the following?
  1. Whether Mrs. Thomas aspirates before administering the insulin
  2. Whether Mrs. Thomas administers the insulin at a 45° angle
  3. Whether Mrs. Thomas cleanses the site with alcohol before each injection
  4. Whether Mrs. Thomas rotates injection sites using sites other than the thighs
Explanation
Answer - D - Whether Mrs. Thomas rotates injection sites using sites other than the thighs. When the same site is used for insulin injections over an extended period of time, lipodystrophy (hypertrophy or atrophy of the tissue) can occur. The other options describe appropriate insulin injection administration techniques.
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