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?
1Discontinue the sedation infusion, administer flumazenil intravenously, provide oxygen via nasal cannula, and proceed with the colonoscopy under close observation
2Stop the procedure, administer intravenous naloxone, apply oxygen via non-rebreather mask, and monitor end-tidal CO2 until respiratory rate normalizes✓ Correct answer
3Reposition the client to a lateral recumbent position, increase oxygen flow rate, and observe for spontaneous improvement in respiratory effort
4Stop further sedation, apply oxygen, support ventilation (jaw lift/bag-mask if needed), prepare flumazenil for benzodiazepine reversal and naloxone for opioid reversal
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.