Question

Which point would the nurse keep in mind when administering enoxaparin? Select all that apply. One, some, or all responses may be correct.

1 The injection should be given in the abdomen.
2 The injection should be given over a bony prominence.
3 Air should be expelled from the syringe before administration.
4 The injection site should be pinched while the needle is being inserted.
5 The injection should be given over large underlying muscles.

Answer 1

To administer enoxaparin effectively, it should be injected into the abdomen, the site should be pinched during needle insertion, and air should not be expelled from the syringe to seal the medication in the tissue.

Step-by-step explanation:

When administering enoxaparin, which is an anticoagulant medication, nurses must adhere to proper injection techniques to ensure efficacy and minimize complications. The following points are crucial:

• The injection should be given in the abdomen, at least two inches away from the belly button, to maximize absorption.
• The injection site should be pinched while the needle is being inserted to create a fold of skin, which ensures the medication is deposited into the subcutaneous tissue and not muscle.
• Air should not be expelled from the syringe before administration. The presence of an air bubble ensures that the medication is sealed in the tissue after the injection.

It is important to avoid administering the injection over a bony prominence or into muscle, as these practices can lead to inadequate absorption or increased risk of hematoma or injury.