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

Determining the dosage is a critical responsibility of the nurse to ensure the patient receives the correct amount of medication, which is essential for therapeutic effectiveness and patient safety. This practice aligns with legal guidelines to avoid underdosing or overdosing, which could lead to adverse outcomes.

Choice B rationale

Teaching the client about the medication is part of the nurse's duty to promote patient understanding, compliance, and informed consent. Educating clients about their medications, including potential side effects and proper administration, helps in preventing medication errors and promoting safe, effective treatment.

Choice C rationale

Monitoring for adverse effects is crucial to ensure patient safety and the efficacy of the medication. Nurses must observe and report any negative reactions to the medication to adjust treatment promptly, which is part of their legal and ethical responsibilities.

Choice D rationale

Determining the client's insurance status is generally not considered part of a nurse's duties related to medication administration under legal practice guidelines. This task is more aligned with administrative or billing departments rather than clinical nursing responsibilities.

Choice A rationale

Propylthiouracil (PTU) is used to treat hyperthyroidism. It works by inhibiting the production of thyroid hormones, thereby reducing symptoms of hyperthyroidism such as rapid heart rate, sweating, and nervousness.

Choice B rationale

Propylthiouracil (PTU) is not used to treat hyperglycemia. Medications for hyperglycemia include insulin and oral hypoglycemic agents.

Choice C rationale

Propylthiouracil (PTU) is not indicated for hypoglycemia. Treatment for hypoglycemia typically includes glucose administration or glucagon.

Choice D rationale

Propylthiouracil (PTU) is not used to treat hypothyroidism. Hypothyroidism is treated with thyroid hormone replacement therapy, such as levothyroxine.