The nurse teaches a client to self-inject enoxaparin from a prefilled syringe. Which instructions should the nurse include? Select exactly 3 responses.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Correct selections are 2, 4, and 5. Enoxaparin is injected into the left or right abdomen at least 2 inches from the umbilicus. The client keeps the skin fold pinched during injection and does not rub the site afterward. The air bubble in a prefilled syringe is not expelled, the plunger is not pulled back to aspirate, and injection sites are rotated.
Clinical reasoning Prefilled enoxaparin technique is designed to deliver the full dose into subcutaneous tissue while limiting local trauma and bruising.
Decision rule Use a rotated abdominal site at least 2 inches from the umbilicus, keep the skin fold pinched, inject the full dose without aspirating or expelling the air bubble, and do not rub afterward.