The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first ?

  • make sure the surgical permit is signed
  • ask the client to go to the bathroom
  • explain the purpose of the medication to the client
  • ask family members to exit the room
Number 1 is correct.
The surgical permit must be signed before a preoperative medication is administered. Other actions follow this initial step in this sequence: 2, 3, and 4.