The nurse is teaching a client how to self-administer subcutaneous heparin injections.
Which instruction should the nurse include?

Inject in abdominal area at least 2 inches from the umbilicus.

Rotate injections between the abdomen and gluteal areas.

Massage the injection site to increase absorption.

Expel the air in the prefilled syringe prior to injection.

Answer and Explanation

The Correct Answer is A

Inject in abdominal area at least 2 inches from the umbilicus.

When administering subcutaneous heparin injections, it is important to choose an injection site on either your tummy or outer areas of your left or right thigh.

Your tummy is usually best as the injection site and it is important that you change the site each time 1.

The heparin needs to go into the fat layer under the skin 2.

Choice B is incorrect because injections should not be rotated between the abdomen and gluteal areas.

Choice C is incorrect because massaging the injection site is not recommended.

Choice D is incorrect because air bubbles in a pre-filled syringe should not be expelled prior to injection 2.

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Correct Answer is A

Explanation

To assess the quality of the client’s pain, the nurse should ask the client to describe the pain.

This will help the nurse to understand the characteristics of the pain and how it is affecting the client.

Choice B is incorrect because providing a numeric pain scale only assesses the intensity of the pain, not its quality.

Choice C is incorrect because identifying effective pain relief measures does not assess the quality of the pain.

Choice D is incorrect because observing body language and movement only provides indirect information about the quality of the pain.

A. Shares the health history with case manager. B. Discusses diagnoses with the physical therapist. C. Provides a list of food allergies to nutritional services. D. Requests military records by phone.

Correct Answer is D

Explanation

Requesting military records by phone without the patient’s consent would be a breach of confidentiality.

Choice A is incorrect because sharing the health history with a case manager who is involved in the patient’s care would not be a breach of confidentiality.

Choice B is incorrect because discussing diagnoses with a physical therapist who is involved in the patient’s care would not be a breach of confidentiality.

Choice C is incorrect because providing a list of food allergies to nutritional services who are involved in the patient’s care would not be a breach of confidentiality.

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The nurse is teaching a client how to self-administer subcutaneous heparin injections. Which instruction should the nurse include?

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The nurse is teaching a client how to self-administer subcutaneous heparin injections.
Which instruction should the nurse include?