The nurse is administering medication via the intramuscular route, inserts the needle, draws back, and sees blood enter the syringe. The nurse's next action is to:
1. Pull the needle out slightly and reposition it at a different angle and draw back again.
2. Inject the medication very slowly.
3. Withdraw the needle, place a clean needle on the syringe, and choose a new site.
4. Withdraw the needle and discard the syringe, then draw up new medication.
4
Rationale: The nurse should withdraw the needle, because injecting medication would risk IV injection. The syringe will be discarded because the medication has been contaminated with blood, and new medication should be prepared.
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