Ms. C.J., a patient on the medical-surgical unit, was admitted 2 days before with a diagnosis of exacerbation of heart failure. This morning her blood pressure is 175/80 mm Hg. She denies chest pain but states that she has been experiencing shortness of breath. She tells the nurse she uses three pillows to be able to breathe at night while sleeping. Her baseline weight at admission was 170 lb, but this morning’s scale indicates a 4-lb weight gain, and +3 pitting edema to the lower extremities is evident. The nurse telephones the doctor and receives an order for furosemide 40 mg by mouth (PO) twice daily and metoprolol 25 mg PO daily to start immediately.
1. How will the nurse identify Ms. C.J. prior to administering medications?
2. Which labs should the nurse review prior to administering furosemide and metoprolol?
3. What safety measures should the nurse use when obtaining the medications from the Pyxis system and administering the drugs to Ms. C.J.?
4. The nurse scans the medications in the electronic health record (EHR) and medication administration record (MAR) and administers the metoprolol. When she attempts to administer the furosemide, the patient states, “I don’t want the water pill.” What is the nurse’s next action?
5. What important information should the nurse document into Ms. C.J.’s medical record 30 minutes after administering the medications?
This week you will need to review the following in your textbook Pharmacology: A patient-centered nursing process approach (9th ed.) (pages 223-401):
Unit V: Central and Peripheral Nervous System Drugs, pages 223-278
Unit VI: Mental and Behavioral Health Drugs, pages 278-305
Unit VII: Pain and Inflammation Management Drugs, pages 306-340
Unit VIII: Antimicrobial Drugs, pages 340-401
Peripheral and Central Nervous System Drugs
Mental Health Drugs
Pain and Inflammatory Drugs