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.


Want to Take FREE Nursing Practice Questions?

We have put together the World's Largest Bank of Nursing Practice Questions, and are letting you have access for FREE! You get to test out the system with 25 free nursing practice questions to start, and then memberships start at only a few bucks per month! Get started now for free - no credit card required!


- 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


"A known reaction to the medication", "The drug follows thrombolytic therapy" and "A birthmark is at the site of injection" are correct. Any time the patient has a known reaction to a medication, the medication should be avoided. If the patient has received thrombolytic therapy, an IM injection is contraindicated because of the increased bleeding potential. Other situations in which the nurse should not give an IM injection include if there is redness, inflammation, bleeding, or a birthmark over the injection site. An intramuscular injection can be a great alternative to swallowing a tablet or for the nurse to start an IV if the patient needs medication quickly.
"The does of the drug is over 2 ml" is incorrect because IM injections, depending on the injection site, can be given up to 5 ml.
"The patient is uncooperative" is incorrect, because in a emergent situation the nurse may have to give the drug as a medical necessity. She may need to ask for help from another staff member, but she can still give the IM injection.

Hopkins, U., & Aria, C. (2013, December 17). Large-volume IM injections: 
A review of best practices. Retrieved March 29, 2018, from https://www.oncologynurseadvisor.com/chemotherapy/large-volume-im-injections-a-review-of-best-practices/article/281208/

How Would You Rate The Quality of This Question?

We’re always trying to improve, so your feedback is vital to helping us make this resource as good as possible. Was it well written? Good content?

How Other Nurses Stack Up


Answered The Question Correctly.

Question Information

Question Difficulty
Total - 102
Correct - 4
Percent Right - 3.92156862745
User Feedback


Question ID - 16482

View All Other Nursing Practice Questions