A nurse is caring for a client with hypertension that is prescribed metoprolol due at 0900.
The nurse took the client's blood pressure at 0855, and it was noted to be 80/60. The client also notes that he feels dizzy and weak.
What is the next intervention for the nurse?

Choice A rationale: Administering a small test dose is not typically required before giving an antibiotic unless there is a known history of severe allergies. It is more important to identify the causative organism to ensure the appropriate antibiotic is used.

Choice B rationale: Having epinephrine available is a safety measure for potential severe allergic reactions, but it is not the most immediate priority. Ensuring the antibiotic is appropriate for the infection is crucial.

Choice C rationale: Monitoring the client's temperature and blood pressure is important, but it is not the most immediate priority before administering the antibiotic. These parameters should be monitored throughout treatment.

Choice D rationale: Obtaining a urine specimen for culture and sensitivity is the most important action before administering the antibiotic. This ensures that the correct antibiotic is prescribed based on the specific bacteria causing the infection. It helps prevent the use of ineffective antibiotics and reduces the risk of antibiotic resistance.

Choice A rationale

Opioid toxicity triad includes symptoms of pinpoint pupils, respiratory depression, and coma. These symptoms are indicative of a morphine sulfate overdose.

Choice B rationale

Orthostatic hypotension is a form of low blood pressure that happens when standing up from sitting or lying down. It is not related to opioid toxicity.

Choice C rationale

Hypertension is high blood pressure. It is not related to opioid toxicity.

Choice D rationale

Abstinence syndrome is a group of symptoms that occur upon the abrupt discontinuation or decrease in intake of medications or recreational drugs. It is not the appropriate complication for the client's presentation. .