The nurse is administering the first dose of ampicillin intramuscularly to a client with a severe infection.In addition to the six rights of medication administration,an important priority nursing action is to:

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Monitoring the client closely for hypersensitivity with the first dose of a new medication is an important nursing action that should be done in addition to the six rights of medication administration. This is particularly important with ampicillin, as hypersensitivity reactions, including anaphylaxis, can occur. Monitoring the client closely for any signs of hypersensitivity, such as rash, itching, swelling, or difficulty breathing, can aid in early identification and treatment of a potential reaction. While monitoring bowel sounds, teaching about side effects, and encouraging fluid intake may also be important nursing actions depending on the client's situation, they are not the most important priority action when administering the first dose of a new medication with the potential for hypersensitivity.

The Nurse Is Administering the First Dose of Ampicillin Intramuscularly