What action should a nurse include in the care plan for a client starting metoprolol?

Determining the apical pulse prior to administering metoprolol is crucial because this medication, a beta-blocker, can significantly affect heart rate. It works by blocking the beta-adrenergic receptors in the heart, leading to a decrease in heart rate and contractility. Before administering metoprolol, checking the apical pulse allows the nurse to assess whether the heart rate is within an acceptable range, typically above 60 beats per minute, to ensure safe administration of the medication. If the heart rate is too low, it may warrant withholding the medication and notifying the healthcare provider, as administering it could exacerbate bradycardia or lead to further complications.

Weight monitoring is not specifically required upon starting metoprolol, and while jaundice may indicate hepatic side effects of some medications, it is not a primary concern directly related to metoprolol without further context suggesting liver involvement. Administering medication in relation to meals can vary, but the most critical aspect before administration is to check the apical pulse to ensure patient safety.