A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse, "This baby constantly cries.
My partner works all the time, and I can't take any more.”. Which of the following responses is the nurse's priority?

Choice A rationale

Demonstrating a neutral demeanor helps build trust with a client who has a paranoid personality disorder. This approach is non-threatening and avoids triggering the client's suspicious tendencies.

Choice B rationale

Using an overly friendly approach can increase the client's suspicion and anxiety, making them feel manipulated or deceived.

Choice C rationale

Asking the client why they are suspicious can be perceived as confrontational and may cause the client to become defensive and less cooperative.

Choice D rationale

Being vague when answering the client's questions can increase their paranoia and mistrust, as it may seem like the nurse is hiding something.

Choice A rationale

Monitoring liver enzymes is important for medications that can cause hepatotoxicity, but lithium primarily affects the kidneys and electrolyte balance.

Choice B rationale

Sodium levels must be monitored while taking lithium because lithium can alter sodium and fluid balance. Changes in sodium levels can affect lithium levels and potentially lead to toxicity.

Choice C rationale

Uric acid levels are monitored with medications that can cause hyperuricemia, such as diuretics, but not typically for lithium therapy.

Choice D rationale

Erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not specifically monitored for clients taking lithium. .