Choice A is correct. This action requires follow-up as the dorsogluteal site is not recommended. The dorsogluteal site is not recommended because of potential damage to nearby nerves and blood vessels.

Choice B is incorrect. Intramuscular injections should be given at a 90-degree angle.

Choice C is incorrect. Prior to injecting the medication, the nurse should appropriately clean the skin with isopropyl alcohol.

Choice D is incorrect. Standard precautions are utilized for an injection which requires the use of thorough hand hygiene.

✓ For adults, potential intramuscular sites include the ventrogluteal, vastus lateralis, and deltoid.

✓ The dorsogluteal site is not recommended because of potential damage to nearby nerves and blood vessels.

✓ A normal, well-developed adult client tolerates 3 mL of medication into a larger muscle without severe muscle discomfort.

✓ Larger volumes of medication (4–5 mL) are unlikely to be absorbed properly.

✓ Children, older adults, and clients who are thin tolerate only 2 mL of an IM injection.

✓ Do not give more than 1 mL to small children and older infants, and do not give more than 0.5 mL to smaller infants