{"id":141204,"date":"2024-09-20T14:24:50","date_gmt":"2024-09-20T14:24:50","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=141204"},"modified":"2024-09-20T14:24:52","modified_gmt":"2024-09-20T14:24:52","slug":"a-nurse-is-teaching-a-client-about-self-administration-of-enoxaparin","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/20\/a-nurse-is-teaching-a-client-about-self-administration-of-enoxaparin\/","title":{"rendered":"A nurse is teaching a client about self-administration of enoxaparin"},"content":{"rendered":"\n

A nurse is teaching a client about self-administration of enoxaparin.<\/p>\n\n\n\n

Which of the following instructions should the nurse include? (Select all that apply.).<\/p>\n\n\n\n

A.
“Insert the entire length of the needle into the skin during injection.\u201d<\/p>\n\n\n\n

B.
“Massage the insertion site after injecting the medication.\u201d<\/p>\n\n\n\n

C.
“Grasp the skin between the thumb and forefinger while injecting the medication.\u201d<\/p>\n\n\n\n

D.
“Alternate injection sites between the sides of the abdomen.\u201d<\/p>\n\n\n\n

E.
“Expel the air bubble from the prefilled syringe.\u201d<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct instructions to include when teaching a client about self-administration of enoxaparin are:<\/p>\n\n\n\n

C. “Grasp the skin between the thumb and forefinger while injecting the medication.”<\/strong><\/p>\n\n\n\n

D. “Alternate injection sites between the sides of the abdomen.”<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n
    \n
  1. Grasping the Skin (C)<\/strong>: When administering enoxaparin, it is important to pinch or grasp the skin to create a fold, which helps ensure that the medication is injected into the subcutaneous tissue rather than into muscle. This technique reduces the risk of muscle damage and helps to ensure the proper absorption of the medication.<\/li>\n\n\n\n
  2. Alternating Injection Sites (D)<\/strong>: To minimize tissue irritation and prevent the development of lipodystrophy (localized changes in fat tissue), it is recommended to rotate injection sites. For enoxaparin, the preferred site is the fatty tissue of the abdomen, and alternating sides helps ensure even distribution and reduces discomfort.<\/li>\n<\/ol>\n\n\n\n

    Incorrect Options:<\/h3>\n\n\n\n
      \n
    • A. “Insert the entire length of the needle into the skin during injection.”<\/strong>: This is incorrect as the needle should be inserted only to the length necessary to reach the subcutaneous tissue, usually about \u00bd to \u00be of an inch, depending on the needle size and the patient\u2019s body habitus.<\/li>\n\n\n\n
    • B. “Massage the insertion site after injecting the medication.”<\/strong>: This is not recommended because massaging the site can lead to increased absorption and potential bruising. It may also cause the medication to be dispersed too quickly, affecting its efficacy.<\/li>\n\n\n\n
    • E. “Expel the air bubble from the prefilled syringe.”<\/strong>: While it is common practice with some injections, for enoxaparin specifically, the air bubble in the prefilled syringe is often left intact. This bubble can help ensure the full dose is delivered and may prevent leakage at the injection site.<\/li>\n<\/ul>\n\n\n\n

      Overall, the key points focus on technique and safety to enhance the effectiveness of enoxaparin therapy while minimizing potential complications.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.). A.“Insert the entire length of the needle into the skin during injection.\u201d B.“Massage the insertion site after injecting the medication.\u201d C.“Grasp the skin between the thumb and forefinger while injecting the medication.\u201d […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141204","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141204","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141204"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141204\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141204"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141204"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}