# The nurse teaches a client to self-inject enoxaparin from a prefilled syringe. Which instructions should the nurse include? Select exactly 3 responses.

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> language: en  
> subject: Medication Administration  
> category: PPT

## Question

The nurse teaches a client to self-inject enoxaparin from a prefilled syringe. Which instructions should the nurse include? Select exactly 3 responses.

Select exactly 3 responses.

1

Avoid rubbing the site after injection because rubbing can increase bruising.

2

Pull back on the plunger after inserting the needle to check for blood return.

3

Keep the skin fold pinched while the full needle length is in the subcutaneous tissue.

4

Use the same abdominal spot for every dose so that absorption remains consistent.

5

Expel the air bubble before injection so that only medication enters the subcutaneous tissue.

6

Choose a left or right abdominal site at least 2 inches away from the umbilicus.

## 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.

## In-depth explanation

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.

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