A nurse is caring for a client prescribed Metoprolol. Which … | MyMerci
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Medication AdministrationPPT
Question
A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regarding checking heart rate and blood pressure prior to administration?
1Continue the enoxaparin at 1 mg/kg every 12 hours because the anti-Xa level of 1.4 IU/mL reflects effective anticoagulation, and the patient is not bleeding, so no dose adjustment is needed despite the mild renal impairment.
2Discontinue enoxaparin and give a bolus of unfractionated heparin (80 units/kg) followed by a continuous infusion, because the elevated anti-Xa indicates the need for a more readily reversible anticoagulant that can be monitored with aPTT.
3Hold the next dose and notify the provider; an anti-Xa of 1.4 IU/mL with the patients age (≥75), weight ≤60 kg, and CrCl
4Administer a once-daily increased dose of enoxaparin 1.5 mg/kg subcutaneously because the high anti-Xa indicates suboptimal anticoagulation and the patient's recent deep vein thrombosis requires more aggressive management to prevent extension or embolism.✓ Correct answer
Explanation
When administering Metoprolol, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.