Question

Which instruction would the nurse provide to a 6' 0", 160-pound client newly diagnosed with type 1 diabetes who wants to self-administer injections with an insulin pen? Select all that apply. One, some, or all responses may be correct.

a- Prime the needle with two units.
b- Use a 29-gauge insulin needle.
c- Give the injection at 45-degree angle.
d- Refrain from recapping the needle.
e- Dial the pen to deliver the unit dose.

Answer 1

For self-administering insulin with a pen, one must prime the needle with two units, use a 29-gauge insulin needle, inject at a 45-degree or 90-degree angle depending on needle length, not recap the needle, and dial the correct dose.

Step-by-step explanation:

Instructions for Self-Administering Insulin

When instructing a client newly diagnosed with type 1 diabetes on self-administering insulin using an insulin pen, the following steps are important:

1. Prime the needle with two units to ensure that the pen is working properly and that insulin will be administered.
2. Use a 29-gauge insulin needle, which is a common size for insulin injections and is suitable for this purpose.
3. Give the injection at a 90-degree angle if you are using a short needle (4-6 mm in length) or at a 45-degree angle if you are using a longer needle in people with little subcutaneous fat. The angle of the injection helps ensure the insulin is delivered subcutaneously and not intramuscularly which can affect absorption rate.
4. Refrain from recapping the needle to prevent needlestick injuries and maintain safety.
5. Dial the pen to deliver the correct unit dose of insulin as prescribed by the healthcare provider.

Always use a new needle for each injection and follow up with your healthcare provider to ensure proper technique and insulin dose.