The nurse is administering an intramuscular injection. After inserting the needle, the nurse pulls back on the plunger and sees blood enter the syringe. Which action by the nurse is the most appropriate?
1. Angle the needle slightly and draw back again. If no blood is obtained, inject the medication.
2. Pull back slightly on the needle and inject the medication.
3. Remove the needle from the site and insert the needle into a new site.
4. Remove the needle, discard the syringe, and prepare new medication for administration.
Correct Answer: 4
When blood is aspirated into the syringe, the needle should be withdrawn and discarded, and a new injection prepared. Angling the needle could cause undue tissue trauma, and would not be proper technique. Pulling back slightly on the needle and injecting the medication would not reduce the risk of injecting into the capillary system, and is improper technique. Once the needle is withdrawn from the skin, it should not be reinserted, because of the risk of infection.
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