I.m.-rationale: a client with a platelet count of 22,000/l bleeds easily. the nurse should avoid using the i.m. route because the area is highly vascular. the client may bleed readily when penetrated by a needle, and it may be difficult for the nurse to stop the bleeding. the clients existing i.v. access would be the best route, especially because i.v. morphine is effective almost immediately. oral and subq routes are preferred over i.m., but theyre less effective for acute pain management than i.v.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1076.
