Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?
A) Instruct to resume regular activities such as driving.
B) Administer lithium before meals.
C) Withhold if serum level is less than 1.5 mEq.
D) Instruct to avoid breastfeeding.
D
Feedback:
Lithium crosses the placental barrier; therefore, its use is contraindicated in pregnant women. Further, lithium is water soluble and present in all body fluids, including breast milk. Lithium administered to infants through breast milk may cause toxicity; therefore, mothers should avoid breastfeeding. The nurse should also caution clients who are prescribed valproic acid to avoid activities that require alertness and coordination. The nurse should withhold the administration of lithium if the serum level is greater than 1.5 mEq. Lithium should be administered with meals.
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