Reference no: EM133270790
The 70-year-old female who was admitted to the hospital to rule out bowel obstruction continues to have nausea and vomiting. The client remains slightly confused and weak. Bowel sounds are absent in the right and left lower quadrants. Abdomen remains hard and distended. Mucous membranes dry; skin turgor poor. IV of Lactated Ringers is infusing at 100 mL/h in the client's left hand. A Foley catheter is in place and is draining 20-30 mL/h. NG tube is in place, connected to intermittent suction, and is draining coffee-ground material.
The client's daughter informs the health care provider (HCP) that her mother has hypertension and takes atenolol every morning. The client has no known drug allergies.
The health care provider (HCP) orders the following:
Metoclopramide 10 mg IVPB in 50 mL of D5W q.i.d.
Atenolol 50 mg po daily. Hold for systolic BP < 100 and P < 50. May take with sip of water.
Cefazolin 500 mg IVPB every 6 hours
Meperidine 25 mg IM every 4 hours PRN pain
Diet: NPO
Vitals signs every 4 hours
Monitor I & O every shift
Question:
List the six (6) rights of medication administration.
What assessments should be made prior to administration of the following medications: Metoclopramide, Atenolol, Cefazolin, and Meperidine?
What is the action of each of the medications prescribed?
What are adverse effects of these medications that the nurse should monitor?