What is the therapeutic range of Lithium (Eskalith)?

0.6-1.5

0.1-0.5

0.2-0.5

0.4-1.6

Answer and Explanation

The Correct Answer is A

Choice A rationale: The therapeutic range of lithium is generally considered to be 0.6-1.5 mEq/L. However, some patients may require higher or lower levels depending on their individual response to the medication and their clinical condition. Lithium has a narrow therapeutic range hence the blood level of the drug should be closely monitored to minimize the risk of toxicity and sub-therapeutic effects.
Choice B rationale: 0.1-0.5 is too low hence the drug will provide sub-optimal effects thus providing inadequate mood stabilization.
Choice C rationale: 0.2-0.5 is too low hence the drug will provide sub-optimal effects thus providing inadequate mood stabilization.
Choice D rationale: 0.4-1.6 the lower limit is too low and may result in sub-therapeutic effects while the upper limit is too high and increases the risk of lithium toxicity which can manifest as nausea, vomiting, tremors, seizures, and death in severe cases.

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Correct Answer is B

Explanation

Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.

A. Providing false reassurance B. Use of open-ended questions C. Active listening D. Silence

Correct Answer is A

Explanation

Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.

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What is the therapeutic range of Lithium (Eskalith)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

Correct Answer is B

Explanation

Barriers to therapeutic communication include probing, giving advice and

Correct Answer is A

Explanation

The nurse should monitor which vital signs in the client who is taking Clozaril (Clozapine).

Prozac 30mg PO is ordered for a client. Prozac is available in 10mg tablets. How many tablets will you administer?

Which laboratory value must be monitored frequently for the client who is on Lithium therapy?

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A client has been taking an antipsychotic medication for several years. It is of vital importance for the nurse to observe the client for tardive dyskinesia. Signs and symptoms of tardive dyskinesia include:

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