Which is a common step in intramuscular injection technique?

• A. Inject quickly to minimize discomfort
• B. Cleanse with alcohol after injection
• C. Pinch skin to avoid muscle penetration
• D. Insert needle at 90 degrees

Answer: (D)

Direct entry into muscle tissue at a perpendicular angle is essential for intramuscular injections. Positioning the needle at 90 degrees to the skin helps ensure the medicine is delivered into the muscle rather than the subcutaneous fat, which improves absorption and consistency of dosing. Rushing the injection isn’t the goal; a steady, controlled technique reduces discomfort and helps place the medication correctly. Cleaning the site after injection isn’t part of the protocol—sterility is maintained by cleaning before insertion. Pinching the skin is a technique used for subcutaneous injections to keep the needle out of muscle; intramuscular injections require penetrating into the muscle, not avoiding it.