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 A
Explanation
A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.
Correct Answer is ["B","C","D"]
Explanation
A. Depression is not rare among the elderly; in fact, it is a significant concern in older adults. Factors such as loss of loved ones, chronic health problems, social isolation, and major life changes contribute to the prevalence of depression in this age group.
B. Depression is indeed one of the most common mental disorders, affecting people across various age groups and backgrounds. It is also highly treatable, with a range of effective treatments available, including psychotherapy, medication, and lifestyle changes.
C. Individuals coping with chronic illnesses are at a higher risk for depression. The ongoing stress, physical discomfort, and lifestyle changes associated with chronic illnesses can contribute to the development of depressive symptoms.
D. Depression can occur across all age groups, from children and adolescents to adults and the elderly. The manifestation of depression might vary with age, but it is a condition that affects people throughout their lifespan.
E. Depression is generally more prevalent in women than in men. Research shows that women are about twice as likely to experience depression compared to men. While men can and do experience depression, they are less frequently diagnosed with it compared to women.
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