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.
 
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the primary goal of the first phase of depression treatment. It focuses on stabilizing the client's condition and alleviating the most distressing symptoms, such as sadness, loss of interest, and changes in sleep and appetite.
B. While medication is often part of the treatment plan, it's not the primary focus of the initial phase. The goal is to address the symptoms first.
C. This is more relevant to the later stages of treatment when the client's condition has stabilized.
D. This is too narrow a focus. The goal is to address the underlying depression and its associated symptoms, not just specific behaviors.
Correct Answer is A
Explanation
Competitive games can create stress or pressure, which may exacerbate feelings of inadequacy or hopelessness in patients with severe depression. The competitive nature of these activities might lead to increased anxiety or feelings of failure, which can be counterproductive.
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