Difficulty: Medium
Average Score: 68%
Simulated
A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis. Which of the following techniques should the nurse use?
Correct answer
C
Rationale
Correct Answer: C
Rationale: Cleansing the skin with an alcohol swab helps reduce the risk of infection. Inserting the needle before injecting the heparin ensures proper placement. Injecting the heparin before observing for bleeding allows the medication to be administered effectively.
Summary:
A: Aspirating before injecting is not necessary for subcutaneous injections. Observing for bleeding before injecting may increase the risk of contamination.
B: Aspirating is not required for subcutaneous injections. Injecting before observing for bleeding is preferred to avoid contamination.
D: Massaging the site after injecting heparin can cause bruising and should be avoided. Aspirating is unnecessary for subcutaneous injections.
Rationale: Cleansing the skin with an alcohol swab helps reduce the risk of infection. Inserting the needle before injecting the heparin ensures proper placement. Injecting the heparin before observing for bleeding allows the medication to be administered effectively.
Summary:
A: Aspirating before injecting is not necessary for subcutaneous injections. Observing for bleeding before injecting may increase the risk of contamination.
B: Aspirating is not required for subcutaneous injections. Injecting before observing for bleeding is preferred to avoid contamination.
D: Massaging the site after injecting heparin can cause bruising and should be avoided. Aspirating is unnecessary for subcutaneous injections.