A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationaleAspirin inhibits platelet function and can increase bleeding risk, particularly in clients already receiving anticoagulants like heparin, thus compounding potential complications such as hematoma or hemorrhage.Choice B rationaleMassaging the injection site can cause localized trauma, increase bleeding risk, and lead to hematoma formation due to the anticoagulant effects of heparin, which disrupts the coagulation cascade.Choice C rationaleHeparin does not transfer significantly into breast milk; therefore, breastfeeding is considered safe. Restricting breastfeeding unnecessarily could deprive the infant of nutritional and immunological benefits.Choice D rationaleThe abdomen provides an appropriate subcutaneous injection site for heparin due to its ample tissue, minimizing the risk of intramuscular injection that could lead to excessive bleeding or bruising.