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 B
Explanation
A. Suicide rates do differ by gender and age but the statement about fathers and mothers does not align with typical statistics. Fathers and mothers are not usually the primary focus of such comparisons.
B. Statistics show that while women attempt suicide more frequently than men, men are more likely to complete suicide. This is often attributed to the methods used, as men typically choose more lethal means, resulting in higher completion rates.
C. Adolescent mothers and fathers are not typically the groups compared in this context. The frequency and success of suicide attempts are generally analyzed with a broader demographic perspective, not specifically focused on adolescent parents.
D. Adult men are more likely to complete suicide, but women generally attempt suicide more frequently than men. The completion rate for suicide is higher among men compared to women.
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.
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