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?
1"Donepezil eventually stops working, so memantine is started in its place to manage the cognitive symptoms of moderate Alzheimer disease."
2"Memantine is intended to reverse the pathological changes of Alzheimer disease and restore lost cognitive abilities in the moderate-to-severe stage."✓ Correct answer
3"Memantine blocks NMDA receptors and is added to a cholinesterase inhibitor in moderate-to-severe disease for additional cognitive benefit."
4"Memantine works by inhibiting acetylcholinesterase more strongly than donepezil, enhancing cholinergic transmission in moderate disease."
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.
Memory Tip Memantine = NMDA blocker (named "Memantine for Memory in moderate-severe"). ChEi (donepezil/rivastigmine/galantamine) used in mild-moderate; add memantine in moderate-severe.
Clinical scenario
Scenario 82-year-old female, moderate-to-severe Alzheimer disease on donepezil for 2 years. Provider adds memantine 10 mg PO BID. Family asks about combination rationale.