Practice Question
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse’s discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Answer Choices:
Correct Answer:
Taking nonsteroidal anti-inflammatory drugs (NSAIDs)
Rationale:
Taking NSAIDs
♦️ NSAIDs reduce renal clearance of lithium, increasing serum levels and toxicity risk.
♦️ Clients should be educated to consult healthcare providers before taking over-the-counter pain relievers.
♦️ Acetaminophen is usually a safer alternative for mild pain relief in clients on lithium.
♦️ Nurses must assess renal function regularly when lithium is used with other nephrotoxic drugs.
Consuming a low-sodium diet
♦️ A low-sodium diet causes the kidneys to retain lithium in place of sodium, leading to elevated levels.
♦️ Nurses should emphasize consistent sodium intake to maintain therapeutic lithium levels.
♦️ Educating on avoiding excessive sweating or dehydration, which mimics low sodium states, is also crucial.
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This question is from Custom: Mental Health Med-know Exam which contains 24 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 4