What is the primary reason for monitoring lithium levels every two to three days until a therapeutic level is obtained?
To prevent symptoms of toxicity
To identify early signs and symptoms of relapse
To establish baseline liver function tests
To ensure the client is within the therapeutic range
The Correct Answer is A
A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This principle relates to protecting patient information. It is not relevant to this scenario.
B. This principle respects the patient's right to self-determination. By disregarding the client's preference for walking with her daughter, the nursing assistant violated the client's autonomy.
C. This principle involves doing good for the patient. While the nursing assistant might have intended to benefit the client by encouraging exercise, it was done at the expense of the client's autonomy.
D. This principle involves avoiding harm to the patient. While the client was upset, there is no evidence of physical harm in this situation.
Correct Answer is D
Explanation
A. This is not a common symptom of an anxiety attack, although severe stress can sometimes lead to risky behaviors.
B. Decreased perceptions is less characteristic of anxiety attacks and are not typically used as indicators of severity
C. Increased motivation is less characteristic of anxiety attacks and are not typically used as indicators of severity
D. This overwhelming fear can manifest physically in various ways, including but not limited to, increased heart rate, sweating, trembling, shortness of breath, and a feeling of loss of control
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