An older adult recently had a hysterectomy and has requested some medication for pain. The physician leaves an order for meperidine (Demerol). Which action by the nurse is most appropri-ate?
a. Assess the client's pain 1 hour after giving the medication.
b. Call the physician and request a different pain medication.
c. Assess the client's respiratory rate often after administering the Demerol.
d. Ensure that the client does not receive iron supplements at the same time.
B
Meperidine (Demerol) is included among the Beers criteria for potentially inappropriate medica-tion use in older adults. Morphine, codeine, and hydromorphone are acceptable medications for the older adult that the nurse could suggest to the physician. Assessing the client's pain and mon-itoring respiratory rate are important interventions for any client receiving narcotic analgesics, but in this case, client safety is best ensured by not administering inappropriate drugs. Iron sup-plements can be administered without regard to Demerol.
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