Two weeks after admission for a manic episode, a client and the nurse have had several sessions discussing medications. Which statement by the client would indicate the need for additional education regarding her lithium treatment regimen?
1. "I will drink 8 to 12 glasses of liquids daily."
2. "I will restrict my daily salt intake."
3. "I will take my medications with food."
4. "I will have my blood drawn on schedule."
ANS: 2
Clients taking lithium must maintain a normal sodium intake or risk symptoms of lithium toxicity. 1. The client should have 2-3 liters of fluid daily. 3. Taking lithium with food minimizes gastro-intestinal side effects. 4. Regular monitoring of lithium levels is important to prevent toxicity.
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