The nurse is preparing to administer metoprolol (Lopressor) to a new client. Which of the following actions by the nurse are correct?

Select all that apply.
  1. hold for a heart rate greater than 80 bpm
  2. check the client’s blood pressure and apical pulse
  3. check the client’s allergies before giving any medications
  4. verify the client’s identity using two patient identifiers
  5. tell the client not to take the medication with grapefruit juice
Select all that apply.
Rationale: Before giving metoprolol, the nurse should check the blood pressure and apical pulse. If the apical pulse is less than 60, the nurse should hold the medication and contact the health care provider. The nurse should always check for allergies before administering any medications. Joint Commission safety guidelines require that at least two patient identifiers are used before administering medications. The client’s name, date of birth, and medical record number on the bracelet should match the chart. The nurse would not hold metoprolol for a heart rate greater than 80 bpm. There are no indications that grapefruit juice should be avoided when taking this medication.