NCLEX-RN

Category - Safety

A nurse is administering a medication through the intramuscular route and aspirates blood. The nurse’s immediate action is to:
  1. Document the incident
  2. Notify the nursing supervisor and ask for assistance
  3. Withdraw the needle and re-administer the same dose using the same needle in another site
  4. Withdraw the needle, discard, and re-administer a new dose using a new needle in another site.
Explanation
Answer: D - Strict aseptic technique is maintained during intramuscular administration of medications. Option A is appropriate, but it is not the nurse’s immediate action.
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