You are working with a client who has a diagnosis of bipolar disorder and is taking lithium. Your client is in a manic phase and is not eating or drinking much water
You are concerned when the client develops a fever of 101 degrees, seems confused, and has a blood pressure of 100/64 (baseline 132/84). It is time for the client to receive her next dose of lithium. The client has a prn order for Tylenol gr 650 for fever above 100 degrees Fahrenheit. You would do which of the following? a. Give the lithium and Tylenol, and force fluids.
b. Hold the lithium, and give the Tylenol.
c. Hold the lithium, and call the provider immediately.
d. Report findings to the provider when he or she makes rounds.
C
Even though the client has an order for Tylenol, if temperature is above 100 degrees, the nurse should hold this client's lithium and call the provider immediately. Other data, such as the drop in B/P and confusion, suggests that the client may be experiencing lithium toxicity.
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