A 30-year-old male patient has been ordered Demerol 75 mg IM ...

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A 30-year-old male patient has been ordered Demerol 75 mg IM every 4 hours after a fractured femur. What action should the nurse take?
 
  A) Give the medication as ordered.
  B) Administer half the dose.
  C) Call the physician for a smaller dose.
  D) Give the dose by mouth.

Question 2

A patient is prescribed clozapine (Clozaril). The patient and family should be instructed on the adverse effects of this medication. What laboratory test is most important in the first months of the medication regime?
 
  A) Weekly liver enzymes
  B) Daily INR
  C) Monthly creatinine levels
  D) Regular complete blood counts

[yasmin]

Answer to Question 1

A
Feedback:
The patient should be administered the full dose of medication, which is within dosing recommendations. A male patient with a fractured femur who has adequate hepatic and renal function should not receive a lower dose of Demerol and should not receive the medication by mouth.

Answer to Question 2

D
Feedback:
Clozapine (Clozaril) is associated with life-threatening decrease in white blood cells (agranulocytosis). It is essential to monitor the complete blood count due to this risk. Weekly liver enzymes are not recommended when administering clozapine. Monthly creatinine levels and INR monitoring are not recommended with clozapine therapy.

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Excellent

[AngeliqueG]

Gracias!