Subcutaneous Heparin Administration.

A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

Use the Z-track method to administer the medication.

Grasp skin between thumb and forefinger throughout the injection.

Aspirate the syringe prior to injecting the heparin.

Gently massage the site following the injection.

Answer and Explanation

The Correct Answer is B

When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.

Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.

Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.

Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.

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Correct Answer is A

Explanation

The correct answer is choice A. Increased pulse rate.

An aPTT of 90 seconds is much higher than the normal range of 30-40 seconds, which means the blood takes longer to clot and the client is at risk of bleeding. An increased pulse rate is a sign of blood loss and shock.

Choice B is wrong because increased blood pressure is not a sign of bleeding, but rather a sign of hypertension or stress.

Choice C is wrong because decreased temperature is not a sign of bleeding, but rather a sign of hypothermia or infection.

Choice D is wrong because decreased respiratory rate is not a sign of bleeding, but rather a sign of respiratory depression or sedation.

A. Discard the vial of medication if the solution is cloudy. B. Shake the vial of medication to dissolve particulates. C. Dilute the vial of medication with sterile water. D. Thaw the medication in the vial 30 min before administration.

Correct Answer is A

Explanation

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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Subcutaneous Heparin Administration. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

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Subcutaneous Heparin Administration.

A nurse is preparing to administer heparin subcutaneously to a client.
Which of the following actions should the nurse plan to take to minimize bleeding following the injection?