The nurse evaluates the patient's ability to self-administer a subcutaneous injection of the anticoagulant enoxaparin (Lovenox).What action by the patient indicates a need for additional patient teaching?

Question

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The nurse wants the patient to avoid massaging the injection site after administering enoxaparin to prevent the formation of large hematomas and decrease the risk of additional bleeding and tissue damage.The nurse instructs the patient to inject the enoxaparin and withdraw the needle without massaging the site afterward.If the patient massages the area to dispel pain or discomfort,he or she reports this to the nurse or provider because it is an unusual finding.The patient demonstrates proper injection technique with injections at 45 to 90 degrees,avoiding aspiration and injecting at least 2 inches away from the umbilicus.

The Nurse Evaluates the Patient's Ability to Self-Administer a Subcutaneous