Final answer:
An IM injection in the arm is acceptable primarily because the deltoid muscle can accommodate the volume of medication.
Step-by-step explanation:
The patient prefers to have the injection administered in his arm, although it is not the preferred site for an intramuscular (IM) injection. This is acceptable primarily because the deltoid muscle in the arm can readily accept the prescribed volume of medication. The deltoid muscle has a sufficient size and blood supply to absorb the medication effectively.
While the patient's weight and movement capabilities in the arm can be secondary factors to consider, they are not the primary reasons why the arm is an acceptable site for the injection.