The client is prescribed phenelzine (Nardil). The client tells the nurse that they consumed two glasses of Chianti (red) wine at lunchtime. What is the nurse's priority action?

Explanation:

A. This is because lithium levels can be affected by changes in sodium balance and hydration levels in the body. Excessive sweating can lead to dehydration, which can increase lithium levels and potentially lead to toxicity. Therefore, it is important for clients to be aware of the need to maintain hydration and to communicate with their healthcare provider if there are any significant changes in their fluid balance, such as those caused by excessive sweating.

B. Stopping lithium abruptly, especially when moods are stable, can lead to relapse of bipolar disorder symptoms and is not recommended.

C. Regular monitoring of blood levels of lithium is essential to ensure therapeutic levels and prevent toxicity; therefore, the statement indicating the client no longer needs blood checks is incorrect.

D. Restricting salt intake lowers the sodium levels which can decrease lithium elimination, hence increasing the risk of toxicity.

Explanation:

A. Noncompliance implies that the client is not following a prescribed treatment plan, which may not be the case here as the client is being educated.

B. Deficient knowledge reflects the need for education regarding lifestyle changes, such as dietary modifications, which is appropriate for a client newly diagnosed with hyperlipidemia.

C. Impaired health maintenance might be applicable if the client was not adhering to prescribed drug therapy, but this diagnosis doesn't address the need for education.

D. Self-care deficit may apply if the client is unable to perform necessary self-care activities due to physical limitations but does not address the educational aspect of dietary changes.