The nurse prepares to administer a 3 ml IM injection of an antibiotic to the client, who is 85 years old. Which does the nurse implement to administer the IM medication?

Question

1. Prepares the client for a subcutaneous injection
2. Divides the injection into two separate syringes
3. Positions client for injection in dorsogluteal area
4. Avoids aspirating when injecting in deltoid muscle

Answer 1

2
2. Older adults, thin clients, and children tolerate up to 2 ml of an injection; so, the nurse divides the dosage into two separate IM injections to promote client comfort and to prevent tissue damage.
1. A 3-ml injection contraindicates use of the subcutaneous route; subcutaneous in-jections range from 0.5-1 ml in volume.
3. The nurse avoids the dorsogluteal area because of the risk of injury to the sciatic nerve.
4. The nurse aspirates during IM injections regardless of the location.