The client is in a manic phase of bipolar disorder, and is receiving lithium. What will the nurse expect to assess when the client's lithium level is 0.3 mEq/L?
1. Sleepiness
2. Calm behavior
3. Relaxed appearance
4. Hyperactivity
4
Rationale 1: The client will be hyperactive, not sleepy.
Rationale 2: The client's lithium level is low. The client will continue to be manic and hyperactive, not calm.
Rationale 3:Relaxed appearance is associated with a normal lithium level. The level is below the normal range.
Rationale 4: Hyperactivity would be due to a level of 0.3 mEq/L, a very low lithium level. The client will continue to be hyperactive and manic when the lithium level is low.
Global Rationale: The serum level of lithium is within the range of 0.6–1.5 mEq/L. If the level is subtherapeutic, the client will exhibit symptoms of mania, which include disordered sleep patterns, activity for days without rest or without appearing tired, easy agitation and aggression, feelings of exaggerated confidence, attention seeking, drug abuse, and denial that the behavior is a problem.
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