A young client with a new diagnosis of bipolar I disorder is scheduled to begin therapy with lithium. Which of the following instructions should the nurse provide to this client?
A) "Try to limit your fluid intake to no more than four to six glasses per day."
B) "If you don't feel substantially different in a few days, increase your dose by 50%."
C) "When you exercise, try to avoid doing so at the hottest times of the day."
D) "Try to adapt to a low-salt diet as soon as possible."
Ans: C
Heavy perspiration increases the possibility of adverse effects during lithium therapy. A high-fluid diet with normal levels of salt is indicated, and doses should not be independently adjusted.
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