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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Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
A. This is the most significant risk factor for suicide among adolescents. Conditions like depression, anxiety, bipolar disorder, and substance abuse can contribute to suicidal thoughts and behaviors.
B. While family issues can contribute to stress and emotional turmoil, mental health problems are more directly linked to suicide risk.
C. Social difficulties, such as bullying or isolation, can increase the risk of suicide, but they often coexist with underlying mental health conditions.
D. While chronic physical illnesses can impact mental health and overall well-being, acute physical problems are less likely to be direct precursors to suicide.
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