A patient with severe hypotension is prescribed a medication by the intramuscular route. Which action should the nurse take before administration?
Correct answer: C. Hold the dose and clarify the prescribed route
- A. Administer it because muscle absorption is always reliable
- B. Give it subcutaneously to improve absorption
- C. Hold the dose and clarify the prescribed route
- D. Massage the selected muscle to increase circulation
Explanation
Severe hypotension can reduce muscle perfusion, making intramuscular absorption slow or unpredictable. The nurse should withhold the dose temporarily and clarify a safer route with the prescriber, rather than independently changing the route or massaging the site.
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About Routes and Safe Medication Administration
Safe medication administration covers oral, sublingual, buccal, topical, inhaled, enteral, intradermal, subcutaneous and intramuscular routes, including their absorption patterns and technique. It also includes medication rights, patient identification, documentation, allergy checks, injection site selection and prevention of errors, with route selection distinguished from dosage calculation.
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