A client is admitted to the cardiac monitoring unit for a suspected myocardial infarction. The client reports long-standing nighttime reflux, and the health care provider orders nizatidine (Ax-id) 150 mg twice a day
Which action by the nurse is most appropriate? a. Consult with the health care provider be-cause the dose is too high.
b. Check the client's kidney function tests before administering the drug.
c. Ask the pharmacist to recommend another histamine receptor agonist.
d. Give the medication as ordered and mon-itor for effectiveness.
C
Nizatidine, a histamine receptor agonist, can cause dysrhythmias. Because the client has a heart condition that may cause rhythm problems, the nurse should consult with the pharmacist for another drug in the same class to recommend to the provider. The dose is appropriate. Kidney function does not need to be monitored while on this drug. The nurse should monitor all drugs given for effectiveness, but this drug should not be given as prescribed.
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