Difficulty: Medium
Average Score: 73%
Simulated
A nurse is administering heparin subcutaneously to a client. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Use a 25-gauge, 1/2-inch needle to administer the medication. This gauge and length are appropriate for subcutaneous injections to avoid reaching muscle tissue. Using a smaller needle minimizes tissue trauma, discomfort, and the risk of bleeding. Aspiration before injecting is unnecessary for subcutaneous injections as there are no large blood vessels in the subcutaneous tissue, making it safer to skip this step. Administering the medication within 2 cm of the umbilicus is not recommended as it could lead to irritation or infection at the site. Massaging the site after injecting the medication is contraindicated as it can cause bruising or discomfort.