The nurse is completing a plan of care for a client on lithium therapy to manage bipolar symptoms. Which nursing interventions will be included? Select all that apply

A) Monitor for symptoms of nausea, vomiting, muscle weakness, and lack of coordination.
B) Increase fluid intake to 3000 mL/day.
C) Limit sodium intake daily.
D) Monitor kidney and liver functioning.
E) Instruct client that it may take up to 6 weeks to reach therapeutic level.
F) Monitor intake and output.


A, B, D, F
Feedback:
The nurse is correct to place in the plan of care interventions that include monitoring for symptoms of lithium toxicity, increasing fluid intake to maintain fluid balance, monitoring kidney and liver function, and monitoring intake and output. Salt intake is important to control the disorder. A therapeutic lithium level is accomplished in a few days to a week.

Nursing

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