A nurse is caring for a client who is pregnant and is experiencing premature contractions. The client has a new prescription for nifedipine 10 mg three times per day. Which of the following actions should the nurse take?

Choice A rationale Contacting the provider to clarify the prescription for nifedipine 10 mg three times per day is crucial because nifedipine is typically used as a tocolytic agent to manage preterm labor. However, its dosage and administration need to be carefully monitored to prevent potential adverse effects, such as hypotension and reflex tachycardia, which can pose risks to both the mother and the fetus. Clarifying the prescription ensures the appropriate dosage and frequency are administered safely. Choice B rationale Giving the medication before meals is not specifically required for nifedipine. While timing can affect the absorption of some medications, the primary concern with nifedipine is ensuring the correct dosage and administration method are followed. There is no strong evidence to suggest that administering nifedipine before meals significantly impacts its efficacy or safety in managing premature contractions. Choice C rationale Administering nifedipine sublingually is not a standard practice for managing premature contractions. Nifedipine is usually prescribed in an oral tablet form, and sublingual administration could lead to rapid absorption and sudden drops in blood pressure, increasing the risk of adverse cardiovascular events. Therefore, this route of administration is not recommended without specific medical guidance. Choice D rationale Discontinuing the medication after three doses is not appropriate without medical advice. The duration and continuity of nifedipine therapy should be based on the clinical response and the provider’s assessment. Abruptly stopping the medication could lead to the recurrence of premature contractions and increase the risk of preterm labor. Continued monitoring and guidance from the provider are essential.