Editing Nursing Skills and Procedures – LPN Practice Questions (section)

==Question 7==
A licensed practical nurse is preparing to administer subcutaneous heparin. Which actions are correct? '''Select all that apply.'''
# Select a site on the abdomen at least 2 inches away from the umbilicus.
# Insert the needle at a 90 degree angle into a pinched skin fold.
# Aspirate for blood return before injecting.
# Massage the site gently after withdrawing the needle.
# Rotate injection sites with each dose.

'''Answer:''' 1, 2, and 5 (A, B, E).

''Rationale:'' Abdominal subcutaneous tissue at least 2 inches from the umbilicus provides consistent absorption, a pinched fold at 90 degrees keeps the drug out of muscle, and site rotation prevents hematoma and tissue damage. Aspiration in option 3 and massage in option 4 both increase bruising and hematoma formation with anticoagulants and are omitted.