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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is a temporary solution and doesn't address the underlying issue of workload.
B. This is a healthy coping mechanism as it involves effective time management and prioritization. Delegating tasks that can be safely performed by others allows the nurse to focus on more complex patient care needs.
C. This can be helpful but doesn't necessarily reduce the overall workload.
D. While this might provide temporary relief, it's not a sustainable solution and can create resentment among colleagues.
Correct Answer is ["weeks"]
Explanation
Fluoxetine (Prozac) is a type of antidepressant known as a Selective Serotonin Reuptake Inhibitor (SSRI). It takes time for the medication to build up in the body and start working effectively.
Typically, it takes 2 to 4 weeks before patients begin to notice improvements in their mood and symptoms.
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