A nurse must give an intramuscular injection of pain medication to a patient who has suffered a fracture in his left arm. Which of the following situations would be a contraindication to administering medication in this manner? Select all that apply.


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- The dose of the drug is over 2 mL

- The patient is uncooperative

- A known reaction to the medication

- The drug follows thrombolytic therapy

- A birthmark is at the site of injection


An intramuscular injection can be a quick way to give a medication that does not require the patient to swallow a tablet or for the nurse to start an IV. There are some situations in which the nurse should not give an IM injection, such as if there is redness, inflammation, bleeding, or a birthmark over the injection site. An IM injection should not follow thrombolytic therapy, as this could lead to bleeding from the site.

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Question ID - 16482

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