A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

A. “Ensure that the air bubble remains in the syringe.” This instruction is correct. The air bubble in prefilled enoxaparin syringes helps to ensure the full dose is administered and reduces the risk of bruising at the injection site. B. “Inject the medication into the lateral thigh.” This instruction is incorrect. Enoxaparin is typically injected into the abdomen, specifically the anterolateral or posterolateral abdominal wall, not the lateral thigh. C. “Release the skin fold before injecting the medication.” This instruction is incorrect. The correct technique involves pinching a fold of skin to create a subcutaneous pocket for the injection and maintaining the pinch until the injection is complete. D. “Rub the site after injecting the medication.” This instruction is incorrect. Rubbing the injection site after administering enoxaparin can cause bruising and should be avoided.