What aspect of a prescription of promethazine should the nurse question?

Promethazine is an antihistamine commonly used as an antiemetic, and it can be administered via various routes, including oral, intramuscular, and intravenous. When considering the route of administration, it is essential to ask whether the chosen route is appropriate for the patient’s condition and the intended effect of the medication.

For instance, the intramuscular route may be preferred in cases where quick relief is needed, while oral administration could be used for a patient who is stable. However, the intravenous route comes with specific considerations, especially related to the risk of serious side effects such as severe respiratory depression, particularly in pediatric patients or those with certain health issues. If a provider orders an intravenous administration without sufficient justification or a clear clinical need, it raises concerns about safety and appropriateness.

Thus, questioning the route of administration is important to ensure patient safety and the effectiveness of treatment.