A client has just begun therapy with lithium (Eskalith). The nurse notices the serum level of lithium for this client is 1.3 mEq/L What is the normal range of lithium?
3.0-4.5 mEq/L
0.6-1.5 mEq/L
0.1-0.6 mEq/L
1.5-3.0 mEq/L
The Correct Answer is B
A. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
B. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
C. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
D. The normal therapeutic range for lithium is typically considered to be between 0.6-1.5 mEq/L. Levels above or below this range may indicate the need for dosage adjustment or potential toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing three tablets under the tongue at once is not the recommended initial dosing for nitroglycerin.
B. Nitroglycerin tablets should not be swallowed; they are meant to be taken sublingually (under the tongue) for quick absorption.
C. This is the correct instruction, reflecting the standard protocol for acute angina treatment with nitroglycerin: one tablet under the tongue every 5 minutes as needed, with no more than three tablets in 15 minutes. If pain persists, it is advised to call emergency services.
D. This instruction is inappropriate as it delays immediate treatment for chest pain, which can be critical in the event of acute angina or a heart attack.
Correct Answer is D
Explanation
A. Oxygen saturation within the normal range does not indicate a need to question administering atenolol.
B. Respiratory rate within the normal range does not indicate a need to question administering atenolol.
C. Blood pressure within the normal range does not indicate a need to question administering atenolol.
D. Atenolol is a beta blocker, which can lower heart rate. A pulse of 52 beats per minute may be too low, especially if the client is experiencing angina, and the nurse should assess further before administering the medication.
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