A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?
Explanation & Rationale
A. Administers the injection in the abdomen: Enoxaparin should be injected subcutaneously into the abdomen at least 2 inches away from the umbilicus. The abdominal area provides consistent absorption and reduces the risk of bruising or tissue injury. B. Massages the site to enhance absorption: The site should not be massaged after injection, as this can cause bruising, tissue irritation, and increased bleeding due to the anticoagulant effect of enoxaparin. C. Releases the skin fold before injecting the medication: The skin fold should be maintained throughout the injection to ensure that the medication is delivered into the subcutaneous tissue, not the muscle. D. Aspirates the medication after injection: Aspiration should be avoided because it can cause tissue trauma and bruising. Enoxaparin should be administered smoothly without pulling back on the plunger.