A client with bipolar disorder begins taking lithium carbonate (lithium), 300 mg four times a day. After 3 days of therapy, the client says, "My hands are shaking." The best response by the nurse is which of the following?
a. "Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks."
b. "It is nothing to worry about unless it continues for the next month."
c. "Tremors can be an early sign of toxicity, but we'll keep monitoring your lithium level to make sure you're okay."
d. "You can expect tremors with lithium. You seem very concerned about such a small tremor."
Answer: a. "Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks."
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