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

Answer and Explanation

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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Correct Answer is A

Explanation

A. This is the primary goal of the first phase of depression treatment. It focuses on stabilizing the client's condition and alleviating the most distressing symptoms, such as sadness, loss of interest, and changes in sleep and appetite.
B. While medication is often part of the treatment plan, it's not the primary focus of the initial phase. The goal is to address the symptoms first.
C. This is more relevant to the later stages of treatment when the client's condition has stabilized.
D. This is too narrow a focus. The goal is to address the underlying depression and its associated symptoms, not just specific behaviors.

A. continue to maintain close observation. B. begin treatment with antidepressants. C. begin to assess client risk factors. D. decrease observation activity to allow client autonomy.

Correct Answer is A

Explanation

A. A no-harm contract is a useful tool. However, it's essential to remember that it's not a guarantee against self-harm. Close observation remains crucial, as suicidal ideation can fluctuate.
B. Antidepressants can be part of the treatment plan but they are not an immediate solution and require careful monitoring. The priority is ensuring the client's safety.
C. This assessment should have already been conducted before establishing the no-harm contract. Ongoing assessment is important, but immediate observation takes precedence.
D. Reducing observation could put the client at risk. Continuous monitoring is necessary to prevent self- harm.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The goal of treatment during the first phase of depression is to:

Correct Answer is A

Explanation

After establishing a no-harm contract with the client, the nurse should:

Correct Answer is A

Explanation

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