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?
"Ensure that the air bubble remains in the syringe."
"Rub the site after injecting the medication."
"Inject the medication into the lateral thigh."
"Release the skin fold before injecting the medication."
The Correct Answer is A
The air bubble should not be expelled from the syringe or aspirate. The air bubble in the syringe of enoxaparin is intended to remain to ensure the full dose of medication is administered.
B-Avoid rubbing a sit may increase the risk of bleeding /irritation
C-The injection is made into the anterolateral or posterolateral aspect of the thigh
D-The skin should not be released before injection as the medication may be injected into the muscle
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Related Questions
Correct Answer is D
Explanation
The injection should be done on the anterolateral or posterolateral abdominal wall. This is because there is adequate distribution of subcutaneous tissue in this region preventing injection into the muscle.
C-The skin should be pinched to ensure that the injection is delivered into the subcutaneous tissue
A-Massaging the area may cause irritation
B-The bubble should not be expelled
Correct Answer is A
Explanation
Epinephrine is administered as a priority in anaphylactic reaction to counter the mechanism of the reaction. Epinephrine helps to reverse the severe allergic response by constricting blood vessels, relaxing smooth muscles in the lungs to improve breathing, and reducing swelling and hives. It is typically administered intramuscularly (IM) into the thigh.
B-Replacing the infusion is important to maintain intravascular volume and blood pressure in the event of hypotension associated with the anaphylactic reaction but not a priority
C-Diphenhydramine helps in managing the cutaneous allergic manifestations but does not address the life-threatening effects
D-Elevation of the client’s feet and legs is not necessary
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