Question

A nurse is administering enoxaparin sodium (anticoagulant) to a client with deep vein thrombosis, via the subcutaneous route. What is a recommended guideline when administering a subcutaneous injection?

a. Sites commonly used for a subcutaneous injection are the inner surface of the forearm and the upper back, under the scapula.
b. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis.
c. Subcutaneous injections are administered at a 30- to 45-degree angle based on the amount of subcutaneous tissue present.
d. Pinching is advised for obese clients to lift the adipose tissue away from underlying muscle and tissue.

Answer 1

When administering a subcutaneous injection, it is recommended to administer the injection into the adipose tissue layer just below the epidermis and dermis, at a 30- to 45-degree angle. Pinching the adipose tissue may be advised for obese clients to facilitate injection administration.

Step-by-step explanation:

When administering a subcutaneous injection, there are several recommended guidelines to follow. B. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis. This layer contains a good blood supply and allows for the slow release of medication. C. Subcutaneous injections are administered at a 30- to 45-degree angle based on the amount of subcutaneous tissue present. This helps ensure proper medication absorption. D. Pinching is advised for obese clients to lift the adipose tissue away from underlying muscle and tissue, making it easier to administer the injection.