A client was initially prescribed lithium for treatment of bipolar disorder. Recently the client has begun to cycle rapidly between mood states. Which therapy, if any, is indicated?
1. No therapy is necessary.
2. Change to an anticonvulsant such as carbamazepine.
3. Discontinue all medications and allow the client a drug holiday.
4. Change to an H2 blocker.
2
Rationale 1: The client who is rapidly cycling should be taking a different medication.
Rationale 2: Carbamazepine is more useful than lithium in clients who are rapidly cycling.
Rationale 3: Drug holidays, or discontinuation of medication, are not used in the treatment of bipolar disorder.
Rationale 4: H2 blockers are not indicated for the treatment of bipolar disorder.
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