Which statement made by a patient who will be maintained on lithium following dis-charge will require further instruction by the nurse?
a. "I will have my blood work done regularly."
b. "When I get home, I may go on a salt-free diet."
c. "I have learned not to restrict my intake of water."
d. "I understand some people gain weight on lithium."
ANS: B
This statement shows that the patient does not understand the relationship between lithium and sodium. The patient must be taught that changing dietary salt intake will affect lithium levels. Adding salt can cause lower levels; reducing salt can result in toxicity. The remaining options reflect correct information regarding lithium therapy.
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