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?

A. Releases the skin fold before injecting the medication: The skin fold should be held throughout the injection to ensure the medication is delivered into the subcutaneous tissue and to minimize discomfort or bruising. Releasing the fold too early can lead to improper administration or deposition intramuscularly. B. Massages the site to enhance absorption: Massaging the injection site after administering enoxaparin can increase the risk of bruising and hematoma formation due to the anticoagulant effects of the medication. This practice is specifically discouraged. C. Aspirates the medication after injection: Aspiration is not recommended during subcutaneous injections of anticoagulants like enoxaparin. It increases the risk of tissue trauma and bruising without providing any benefit in this context. D. Administers injection in abdomen: The abdomen is the preferred site for enoxaparin injections, typically at least 2 inches away from the umbilicus. This area provides a consistent layer of subcutaneous tissue and reduces the risk of bleeding into muscle tissue.