Which actions are performed by the nurse when giving a subcutaneous injection of low-molecular weight heparin? (Select all that apply.)
a. Position the patient lying down.
b. Expel the air bubble before injection.
c. Insert the needle into a skin fold held between the thumb and forefinger.
d. Release the skin fold then inject the drug.
e. Rub the injection site to avoid bruising.
A, C
Low molecular weight heparin is given by deep subcutaneous injection with the patient lying down. The needle should be inserted into a skin fold held between the thumb and the forefinger. To avoid losing any of the drug, the nurse should not expel the air bubble before injection. The skin fold should be held until the injection is completed. The nurse should not rub the injection site.
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