When working with the client experiencing mania who is taking lithium, you would instruct the client and family to:
a. keep the client's sodium intake stable and have the client drink 6 to 8 glasses of water consistently each day
b. restrict the client's water intake to 3 glasses a day
c. not worry about the client's salt intake at all since lithium is a salt
d. have the client use a salt substitute and not worry about water intake
A
The nurse would instruct the client to keep his or her sodium intake level stable and drink 6 to 8 glasses of water. Lithium and sodium share the same pathways for renal excretion. Thus, a low-salt diet could decrease the excretion of lithium and result in higher levels of lithium in the body.
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