Difficulty: Medium
Average Score: 95%
Simulated
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct answer
B
Rationale
The correct answer is B: Inject 5.1 cm (2 in) away from the umbilicus. This instruction is crucial to prevent any potential bruising or irritation at the injection site. Injecting too close to the umbilicus can lead to discomfort and complications. Option A is incorrect as a smaller gauge needle is recommended for heparin injections to minimize tissue trauma. Option C is incorrect as air bubbles should be removed to prevent air embolism, not specifically related to heparin administration. Option D is incorrect as massaging the injection site can cause bruising and should be avoided.