A nurse is preparing discharge teaching for a patient starting lithium therapy for bipolar disorder. Which of the following instructions should the nurse include to ensure safe and effective use of lithium?
"Avoid all physical activity to reduce the risk of dehydration."
"You should stop the medication immediately if you experience increased thirst or frequent urination."
"Maintain a consistent salt and fluid intake daily to help prevent hum toxicity"
"You do not need regular blood tests once you feel better on the medication"
The Correct Answer is C
Rationale:
A. Avoiding all physical activity is not necessary. Patients should stay hydrated during activity, but exercise can be safely performed with appropriate precautions.
B. Increased thirst and urination can be side effects of lithium, but the medication should not be stopped abruptly. The patient should contact their provider.
C. Lithium levels are influenced by sodium and fluid balance. Consistent intake helps maintain therapeutic levels and reduces the risk of toxicity.
D. Regular blood tests are required to monitor lithium levels and kidney function, even when symptoms are controlled.
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Related Questions
Correct Answer is A
Explanation
Rationale:
A. Dorothea Dix was a 19th-century reformer who advocated for the humane treatment of individuals with mental illness and was instrumental in the development of state psychiatric hospitals across the U.S.
B. This refers to Hildegard Peplau, who developed the theory of interpersonal relations in psychiatric nursing.
C. While education evolved over time, Dix was not associated with psychiatric nursing education programs.
D. The introduction of psychopharmacology occurred in the mid-20th century, long after Dix’s time.
Correct Answer is B
Explanation
Rationale:
A. While respecting autonomy is important, avoiding further discussion may neglect the nurse’s role in promoting the client’s well-being.
B. Beneficence involves actions that promote good and reduce harm. Educating the client empowers informed decision-making while promoting their best interest.
C. Insisting on treatment disregards the client’s autonomy and may damage the therapeutic relationship, despite good intent.
D. Covert administration is unethical and violates the client's rights, even if the intention is to help.
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