Difficulty: Medium
Average Score: 68%
Simulated
A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.)
Correct answer
A,C,D
Rationale
Correct Answer: A, C, D
Rationale:
A: Inserting the entire length of the needle ensures the medication is delivered subcutaneously, promoting proper absorption.
C: Alternating injection sites helps prevent tissue damage and allows for better absorption of the medication.
D: Grasping the skin between the thumb and forefinger creates a stable injection site, reducing the risk of injury and ensuring accurate delivery of the medication.
Incorrect Choices:
B: Massaging the insertion site may cause bruising or discomfort and is not a recommended practice for enoxaparin administration.
E: Expelling air bubbles is not necessary with prefilled syringes as they are designed to have the correct dosage without air bubbles.
Rationale:
A: Inserting the entire length of the needle ensures the medication is delivered subcutaneously, promoting proper absorption.
C: Alternating injection sites helps prevent tissue damage and allows for better absorption of the medication.
D: Grasping the skin between the thumb and forefinger creates a stable injection site, reducing the risk of injury and ensuring accurate delivery of the medication.
Incorrect Choices:
B: Massaging the insertion site may cause bruising or discomfort and is not a recommended practice for enoxaparin administration.
E: Expelling air bubbles is not necessary with prefilled syringes as they are designed to have the correct dosage without air bubbles.