A nurse is speaking with the sibling of a client who refuses to see visitors.
Which of the following actions should the nurse take?

Choice A rationale

Arranging a visit without the client’s consent disregards their right to refuse visitors, which is important to respect their autonomy.

Choice B rationale

Referring the sibling to the provider does not address the client’s current refusal and bypasses the nurse’s role in facilitating communication.

Choice C rationale

Informing the sibling that the client does not want visitors respects the client’s wishes and maintains their confidentiality.

Choice D rationale

Encouraging the client to visit with the sibling may pressure the client and does not respect their current refusal of visitors. .

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. .