The nurse is assessing therapeutic blood levels for a client receiving lithium (Lithobid). The nurse should recognize which of the following levels as toxic for this drug?

0.25 mEq/L to 1 mEq/L

0.2 mEq/L to 0.4 mEq/L

1.5 mEq/L to 2 mEq/L

0.5 mEq/L to 1.0 mEq/L

Answer and Explanation

The Correct Answer is C

A. Levels in this range are generally considered therapeutic for lithium.
B. Levels in this range are typically below the therapeutic range for lithium.
C. Lithium levels in the range of 1.5 mEq/L to 2 mEq/L are considered toxic and require intervention.
D. Levels in this range are generally within the therapeutic range for lithium.

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Correct Answer is D

Explanation

A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.

A. “I can tell that my blood pressure has been better every day.” B. “I have had no anginal attacks since starting the medication.” C. “I am tolerating exercise without pain on a regular basis.” D. “I have not had as many headaches since starting the medication.”

Correct Answer is C

Explanation

A. Blood pressure improvement is not the primary goal for nitroglycerin patches, which are more focused on managing angina.
B. While the medication is effective in reducing angina, complete elimination of anginal attacks is not always expected.
C. Effective management of angina would be indicated by the client’s ability to tolerate exercise without pain.
D. Headaches are a common side effect of nitroglycerin and do not necessarily indicate the effectiveness of the medication in managing angina.

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The nurse is assessing therapeutic blood levels for a client receiving lithium (Lithobid). The nurse should recognize which of the following levels as toxic for this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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