What is the therapeutic level range for lithium?

0.1-0.3 mEq/L

0.5-1.0 mEq/L

2.0-3.0 mEq/L

1.5-2.5 mEq/L

Answer and Explanation

The Correct Answer is B

B. 0.5-1.0 mEq/L is the correct range for the therapeutic levels of lithium. This range is effective for stabilizing mood in conditions like bipolar disorder while minimizing the risk of toxicity. Monitoring within this range helps ensure that the medication is both effective and safe for the patient.

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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.

A. Place wrist restraints on the client to prevent psychomotor agitation. B. Explain to the client why her behavior is inappropriate. C. Move the client to a seclusion room D. Tell the client when he will return and leave the room.

Correct Answer is D

Explanation

A. This is an inappropriate and potentially harmful response. Restraints should be used as a last resort and only under specific circumstances. In this case, they are not necessary and could escalate the situation.
B. Attempting to reason with an agitated client is unlikely to be effective and could further escalate the situation.
C. Seclusion should be used as a last resort and only under specific circumstances. In this case, it is not necessary and could increase the client's agitation and sense of isolation.
D. This is the most appropriate response as it sets a clear boundary, gives the client time to calm down, and allows the nurse to return when the situation is more stable.

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What is the therapeutic level range for lithium?

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Naxlex Comprehensive Predictor Exams

What is the primary reason for monitoring lithium levels every two to three days until a therapeutic level is obtained?

Correct Answer is A

Explanation

A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?

Correct Answer is D

Explanation

A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?

Depression in the elderly is:

A client who is threatening to commit suicide should receive mental health care in which setting?

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Suicide attempts by are more successful because one out of every two attempts results in death.