A patient with bipolar disorder is being treated with lithium. ...

[luvbio]

A patient with bipolar disorder is being treated with lithium. What laboratory test will provide the nurse with information on the effectiveness and toxicity of the patient's lithium levels?
 
  1. Complete blood count
  2. Basic metabolic panel
  3. Urinalysis
  4. Serum level test

Question 2

A nurse is assessing a patient who presented to the emergency department after a public fight. The patient is crying and claiming that he does not remember how the fight started.
 
  What sensory functions should the nurse check as part of the patient's initial psychiatric assessment? Select all that apply.
  1. Pain
  2. Smell
  3. Pressure
  4. Temperature
  5. Proprioception

[ririgirl15]

Answer to Question 1

Answer: 4
Explanation: A serum level test will monitor therapeutic levels of medications, such as lithium, in order to test for effectiveness ranges and to prevent drug toxicity. A complete blood count (CBC) may be ordered to monitor for infections, toxins, preexisting conditions, or responses to medications. A basic metabolic panel (BMP) may be ordered to identify preexisting conditions or monitor side effects to medication. Urinalysis can reveal pregnancy, diabetes, proteins, or drug abuse.

Answer to Question 2

Answer: 1, 3, 4, 5
Explanation: As part of every initial psychiatric assessment, all registered nurses are expected to be able to complete and document a thorough neurological exam. Assessing sensory perception as part of that exam involves evaluating pain, pressure, proprioception, and temperature. Evaluating smell is not required in the initial evaluation.

[luvbio]

TYSM

[6ana001]

Excellent