Which patient should be assessed most carefully for evidence of lithium toxicity? A patient taking lithium (Lithobid) and

a. indomethacin (Indocin).
b. risperidone (Risperdal).
c. ziprasidone (Geodon).
d. olanzapine (Zyprexa).


A
The combination of lithium and indomethacin is more likely to produce lithium toxicity than lithium and any other drug listed. Nonsteroidal antiinflammatory drugs reduce renal elimination of lithium, thereby increasing serum lithium levels.

Nursing

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