NCLEX-RN · Question #760
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following…
The correct answer is B. Blood urea nitrogen, electrolytes, and creatinine. (A) These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. (B) These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because…
Question
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostictests are essential prior to the initiation of lithium therapy with this client?
Options
- AHematocrit, hemoglobin, and white blood cell (WBC) count
- BBlood urea nitrogen, electrolytes, and creatinine
- CGlucose, glucose tolerance test, and random blood sugar
- DX-rays, electroencephalogram, and electrocardiogram (ECG)
How the community answered
(27 responses)- A7% (2)
- B85% (23)
- C4% (1)
- D4% (1)
Explanation
(A) These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. (B) These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. (C) These are diagnostic blood tests used to determine the presence of endocrine (not renal) (D) These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
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