What should the nurse do prior to administering dexamethasone to ensure patient safety?

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Before administering dexamethasone, it is crucial for the nurse to assess for allergies. Dexamethasone is a corticosteroid that can cause hypersensitivity reactions in some individuals. Identifying any known allergies to dexamethasone or closely related compounds is vital to prevent potentially serious allergic reactions, which could manifest as anaphylaxis or other adverse effects.

Monitoring blood glucose levels is important in patients on corticosteroids due to the potential for hyperglycemia, especially in those with diabetes or glucose intolerance, but it occurs after ensuring that the medication can be safely administered. Similarly, while calcium levels may be relevant for long-term corticosteroid therapy due to possible osteoporosis risks, it is not a primary concern when preparing to give the medication. Heart rate monitoring is typically related to other specific indications or conditions rather than directly linked to the administration of dexamethasone itself.

By confirming the patient's allergy status first, the nurse prioritizes immediate safety, which is a fundamental aspect of medication administration.

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