A client has been started on therapy with lithium carbonate (Lithobid). The nurse instructs the client to do which of the following?
1. Limit salt intake.
2. Limit food intake.
3. Maintain a fluid intake of 2 to 3 L/day.
4. Stop the medication if gastrointestinal (GI) disturbances occur.
3
Rationale: The client who begins taking lithium carbonate must maintain a fluid intake between 2 and 3 L/day. The client should also maintain normal salt intake. Both of these are necessary to avoid dehydration. GI disturbances generally disappear during continued therapy. It is not necessary to limit food intake.
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