Difficulty: Medium
Average Score: 76%
Simulated
A nurse is preparing to administer enoxaparin 5,000 units subcutaneous to a client. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Insert the needle at a 45┬░ or 90┬░ angle. When administering enoxaparin subcutaneously, the nurse should insert the needle at a 45┬░ or 90┬░ angle to ensure proper delivery into the subcutaneous tissue. Angling the needle helps prevent injecting the medication too deeply or too superficially, ensuring optimal absorption and effectiveness. Holding the skin taut (choice B) is not required for subcutaneous injections. Massaging the injection site (choice C) after administering enoxaparin is not recommended as it can cause irritation or bruising. Using a 4 cm needle (choice D) is not specified for enoxaparin administration and may not be appropriate for all clients.