The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity? Select all that apply
A) Clients receiving furosemide (Lasix)
B) Clients experiencing diarrhea
C) Clients with renal insufficiency
D) Clients with liver cirrhosis
E) Clients experiencing vomiting
Ans: A, B, C, E
Feedback:
Clients with dehydration, diarrhea, vomiting, renal or cardiovascular disease, or sodium depletion and those receiving diuretics (i.e., furosemide) are at an increased risk for developing lithium toxicity.
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