A client diagnosed with Addison's disease is being treated with prednisone. The nurse must educate the patient about which of the following side effects of prednisone? Select all that apply.

Weight gain is a common side effect of lithium therapy but not necessarily an indication of lithium toxicity. Lithium toxicity is more closely associated with symptoms such as nausea, vomiting, diarrhea, tremors, confusion, and ataxia. Therefore, while it is important to monitor for adverse effects, weight gain alone does not signify toxicity.

Choice B reason:

Lithium is not considered addictive, and there is no standard recommendation to discontinue it after six months. It is typically used as a long-term treatment for bipolar disorder to manage and prevent mood episodes. This statement is inaccurate and could lead to improper discontinuation of a necessary medication.

Choice C reason:

While lithium can cause polyuria (excessive urination), prescribing a diuretic is not a standard solution. Diuretics can actually increase lithium levels in the blood, raising the risk of toxicity. Management of polyuria typically involves other strategies such as dose adjustment or switching medications, but not necessarily diuretics.

Choice D reason:

Monitoring lithium levels is crucial in managing therapy because of the narrow therapeutic index. Regular blood tests are needed to ensure that lithium levels remain within a safe and effective range. This practice helps to prevent both subtherapeutic dosing and toxicity, making this statement correct and vital for patient education.

Choice A reason:

Cleaning hearing aids with alcohol wipes is incorrect as alcohol can damage the hearing aids. The proper cleaning method involves using a soft, dry cloth or a cleaning kit specifically designed for hearing aids. This statement indicates a need for further instruction as it suggests a misunderstanding of proper hearing aid maintenance.

Choice B reason:

Hearing aids may whistle (feedback) when cupped by the hand. This is a normal occurrence and indicates that the hearing aids are functioning. This statement does not indicate a need for further instruction.

Choice C reason:

Not using hairspray while wearing hearing aids is correct, as hairspray can damage the devices. This statement reflects proper understanding and does not indicate a need for further instruction.

Choice D reason:

Changing the batteries once a week is a typical practice, though the frequency may vary based on usage and battery type. This statement shows a correct understanding of hearing aid maintenance and does not indicate a need for further instruction.