A nurse is reviewing factors that determine a client's health risk with a newly licensed nurse. Which of the following factors should the nurse include?

C. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.

A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.

B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.

D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.

A. A serum lithium level of 1.6 mEq/L is above the therapeutic range, indicating lithium toxicity. Manifestations of lithium toxicity can include neurological symptoms such as blurred vision and jerking motor movements. Other symptoms may include nausea, vomiting, diarrhea, tremors, confusion, drowsiness, and muscle weakness.

B. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity.

C GI discomfort, such as nausea, vomiting, and diarrhea, is a common symptom of lithium toxicity. Poor coordination, along with tremors and muscle weakness, can also occur due to the effects of lithium on the central nervous system.

D. Lip smacking and tongue thrusting are repetitive and involuntary movements associated with certain types of seizures or seizure disorders, but they are not typically observed in lithium toxicity.