Ambulatory Care Nurse Certification Practice Exam 2025 – All-in-One Resource for Comprehensive Exam Success!

The choice of a 20-23 gauge needle for intramuscular injections is based on the need to balance the needle's diameter with the viscosity of the medication being administered. Intramuscular injections often involve thicker substances or larger volumes compared to subcutaneous or intradermal injections.

A 20-23 gauge needle is suitable because it allows for an effective delivery of medications into the muscle tissue without causing excessive trauma to the muscle fibers. If a needle that is too small, such as those in the 24-28 gauge range, is used, the viscosity of the medication may lead to difficulties in injecting and could result in incomplete delivery of the dosage. Meanwhile, using a much larger needle like those in the 16-20 gauge range could introduce unnecessary pain and increase the risk of complications such as damage to surrounding tissues.

Therefore, the 20-23 gauge needle provides an optimal compromise, facilitating a smooth injection process while ensuring that the specific needs of intramuscular delivery are met.