What action best demonstrates the patient’s readiness for insulin administration before discharge?

• A. The client will demonstrate self-injection of insulin, using a preloaded syringe, into the subcutaneous tissue of the thigh prior to discharge
• B. The client will watch a video about injections
• C. The client will have the nurse administer all injections after discharge
• D. The client will rely on oral alternatives when possible

Answer: (A)

The key idea is assessing the patient’s ability to perform insulin therapy safely and independently. The best demonstration of readiness is the patient showing correct self-injection technique with a preloaded syringe into subcutaneous tissue, including preparing the dose, choosing a site (and rotating it), inserting at the proper angle, and disposing of sharps properly. This hands-on skill confirms the patient can manage insulin at home, handle dosing and site rotation, and recognize issues like hypoglycemia. Watching a video shows knowledge but not the actual skill. Having the nurse administer all injections after discharge denies patient autonomy, and relying on oral alternatives isn’t appropriate if insulin is needed.