A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?

"Restrict your fluid intake while taking lithium.

"Double your dose of lithium if you experience blurred vision."

"Consume a moderate-sodium diet while taking lithium."

"Slurred speech can indicate that your lithium level is low."

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

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Correct Answer is C

Explanation

Choice A rationale:

Teaching about manifestations of anxiety might be important, but addressing the immediate needs of the anxious client takes precedence.

Choice B rationale:

Completing the assessment is important, but if the client is becoming increasingly anxious, immediate intervention is needed.

Choice C rationale:

Reassuring the client of their safety is a priority intervention for managing escalating anxiety. This can help to provide a sense of security and prevent the situation from worsening.

Choice D rationale:

Administering an anti-anxiety medication should not be the first step, especially without assessing the client's current condition and considering non-pharmacological interventions first.

A. Slurred speech B. Yellowed sclera C. Ulcers on the ankles D. Swelling in the joints

Correct Answer is A

Explanation

Choice A rationale:

Slurred speech could indicate a potential neurological complication in a client with sickle cell anemia, such as a stroke. Neurological symptoms require immediate attention and reporting to the healthcare provider.

Choice B rationale:

Yellowed sclera (jaundice) can be related to sickle cell anemia but is less acutely concerning than slurred speech.

Choice C rationale:

Ulcers on the ankles are often associated with sickle cell anemia, but they are not as urgent as neurological symptoms.

Choice D rationale:

Swelling in the joints is a potential manifestation of sickle cell anemia, but slurred speech indicates a more acute and concerning issue.

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A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?

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