Lithium levels are considered toxic when they become higher than ...

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Lithium levels are considered toxic when they become higher than __________ mEq/L.
 
  Fill in the blank(s) with correct word

Question 2

An experienced nurse is providing mentorship to a novice who is working with a depressed patient. Which of the following responses or feelings should the mentor anticipate in the novice? Select all that apply.
 
  a. Frustration and inadequacy
  b. Accomplishment and pride
  c. Unrealistic or unmet expectations
  d. Avoidance of the patient
  e. Anxiety and hopelessness
  f. Confidence and objectivity

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Answer to Question 1

1.5
Lithium therapy must be closely monitored because the therapeutic range is narrow and toxicity can be life threatening. Anything higher than 1.5 mEq/L is considered toxic.

Answer to Question 2

A, C, D, E
Nurses may have expectations for self and patients that are not wholly realistic, especially regarding the patient's progress toward health. As a result, their expectations often go unmet and can result in feelings of incompetence, anger, inadequacy, helplessness, and frustration. Anxiety and hopelessness are feelings common in depressed patients and may be experienced as well by staff who are overly empathetic or lack fully formed professional boundaries. Staff tend to avoid working with people about whom they feel anxious, frustrated, or powerless. Accomplishment and pride can occur when working successfully with any patient, but this is not a pattern characteristic of working with depressed persons. Confidence is uncommon in novices, and both confidence and objectivity are difficult for new nurses to maintain when working with depressed persons.

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