A nurse reviews the laboratory report for a client who is receiving lithium three times daily PO. The client's current blood lithium level is 1.8 mEq/L. The nurse identifies that this lab value indicates which of the following?.
The lithium level is within the therapeutic level for initial treatment.
The lithium level is below the therapeutic treatment level.
The lithium level is at the toxic level.
A blood lithium level of 1.8 mEq/L is not within the maintenance treatment level.
The Correct Answer is C
Choice A rationale:
A lithium level of 1.8 mEq/L is above the therapeutic level for initial treatment (0.8 to 1.4 mEq/L)3.
Choice B rationale:
A lithium level of 1.8 mEq/L is above, not below, the therapeutic treatment level.
Choice C rationale:
A lithium level of 1.8 mEq/L is at the toxic level. A blood lithium level greater than 1.5 mEq/L indicates toxicity.
Choice D rationale:
A lithium level of 1.8 mEq/L is not within the maintenance treatment level (0.4 to 1.3 mEq/L)3.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A rationale:
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
Choice B rationale:
Delusions are considered positive symptoms of schizophrenia, not negative.
Choice C rationale:
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
Choice D rationale:
Hallucinations are considered positive symptoms of schizophrenia, not negative.
Choice E rationale:
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder.
Choice B rationale:
Valproate is an antiepileptic and mood-stabilizing medication commonly used to treat bipolar disorder.
Choice C rationale:
Carbamazepine is an anticonvulsant medication that has been found effective in managing mood swings in bipolar disorder.
Choice D rationale:
Donepezil is primarily used to treat Alzheimer’s disease and is not typically used in the treatment of bipolar disorder.
Choice E rationale:
Paroxetine is a type of antidepressant known as an SSRI, and it can be used in the treatment of bipolar disorder.
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