What is the priority action before administering a metoprolol IV push?

The priority action before administering metoprolol IV push is to assess vital signs. Metoprolol is a beta-blocker that can significantly affect heart rate and blood pressure. Before administration, it is crucial to determine the baseline vital signs to ensure that the patient's heart rate is not too low (bradycardia) and that blood pressure is within an acceptable range. This assessment helps avoid administering the medication if the patient is at risk for adverse effects related to decreased heart rate or hypotension.

Clarifying the prescription, obtaining a syringe, or assessing allergies, while important in their own contexts, do not take precedence over assessing the patient's current vital status in the case of medications that can have immediate and significant cardiovascular effects like metoprolol. Ensuring the safety of the patient through vital sign assessment is essential to determine the appropriateness of administering the medication at that time.