The nurse is about to administer lithium to a client with a bipolar disorder. Which statement by the client requires immediate follow up by the nurse?
A) "My mouth feels dry."
B) "I feel like I can't stop moving my hands."
C) "I have been taking this for over two months."
D) "I feel productive today."
B) "I feel like I can't stop moving my hands."
Explanation: A) Dry mouth is an expected side effect of pharmacologic treatment of bipolar disorders, and may be due to other causes.
B) The client's statement indicates the possibility of extrapyramidal effects such as Parkinson-like symptoms (e.g. rigidity, tremor, or "pill rolling" movements of the fingers) and requires further follow up by the nurse. These symptoms may be due to an acute dystonic reaction, which may be severe and require immediate medical intervention.
C) While it is important for the nurse to know how long the client has been taking lithium, this statement does not require immediate follow up by the nurse.
D) Feelings of productivity on their own may or may not be related to the client's mood disorder, and thus is not the priority statement requiring follow up at this time.
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