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 A

Explanation

Choice A rationale: TCAs do not have an immediate mechanism of action and may take approximately 2-4 weeks to have an effect on the neurotransmitters involved in mood regulation hence the brain may take some time to adjust to these changes.
Choice B rationale: 1-2 weeks is too short, and may lead clients to feel discouraged or frustrated if they do not see any results by then hence informing them of the duration it will take before they can realize a change in their mood or anxiety is crucial.
Choice C rationale: 3-4 days is too short, and may lead clients to feel discouraged or frustrated if they do not see any results.
Choice D rationale: 1-2 days is too short and unrealistic gives the client false expectations and may make them think that the drugs are ineffective in their mood and anxiety control.

A. The client B. The environment C. Financial resources D. The caregiver

Correct Answer is A

Explanation

Choice A rationale: The client is not a problem in a therapeutic relationship but is instead the focus of care and their needs and preferences be considered in their care process.
Therefore, the client should also be encouraged to participate actively in the treatment and to provide feedback on the progress and challenges.
Choice B rationale: The environment, including issues like noise, interruptions, or lack of privacy, can impact the effectiveness of therapeutic interactions.
Choice C rationale: Financial resources, for instance, lack of insurance coverage, high costs of healthcare, and limited access to quality healthcare can impair effective patient care resulting in stress and frustration for the patient.
Choice D rationale: The caregiver's own challenges, such as burnout, communication issues, and lack of knowledge, skills, and experience can impair the quality of care provided to a client thus affecting the therapeutic relationship.

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What is the therapeutic range of Lithium (Eskalith)?

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Correct Answer is A

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