# 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?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497527&lang=ja  
> language: ja  
> subject: NCLEX-RN  
> category: PPT

## 問題

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?

## 選択肢

1. Monitor vital signs and assess laboratory values prior to administration.
2. Administer the medication with a full glass of water every morning.
3. Instruct the client to report any unexpected side effects immediately.
4. Verify the prescription details with the healthcare provider. **✔ 正解**

**正解: 4**

## 解説

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.

## 詳細解説

1. Scenario: Patient taking Vancomycin.
2. Recognize Cues: Evaluate Red Man Syndrome 예방 주입 속도 및 Trough level 측정.
3. Take Action: Ensure safe administration protocols.
4. Evaluate: Re-assess therapeutic response.

## 重要概念

- **Vancomycin (반코마이신)** — 글리코펩타이드 항생제로 최소 60분 이상 천천히 투여하고 혈중 최저 농도를 확인해요.

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