A nursing intervention needed to help a client with bipolar disorder accomplish a key outcome of achieving a stable lithium level would include teaching the client:
1. To take the drug daily without skipping doses
2. About increasing and decreasing the drug dosage
3. That taking new over-the-counter drugs is permissible
4. To stop the drug when life is not stressful
ANS: 1
This nursing intervention is descriptive and directive. Taking the drug daily as prescribed, not skipping doses, and not taking extra doses to make up for missed doses are all critical to estab-lishing and maintaining a stable lithium level. Option 2 is not directive. Dosage should not be al-tered except in consultation with a physician. Option 3 is a false statement. Clients should be taught to clear all over-the-counter preparations with the physician since many (e.g., ibuprofen) alter lithium level. Option 4 is incorrect; the client should not stop taking lithium without the physician's approval.
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