A client with the manic type of bipolar disorder is taking lithium carbonate. What advice should the nurse give her client about taking lithium?
a. Comply with routine blood level monitoring.
b. Avoid foods that contain vitamin B.
c. Watch for signs of dependency and habituation.
d. Take medication only when symptoms occur.
a. Comply with routine blood level monitoring.
FEEDBACK:
a. Compliance with routine blood level monitoring is imperative when taking lithium, as there is a narrow therapeutic range and lithium toxicity can occur rapidly. Because of this, lithium is monitored in hospitals as a high-risk drug.
b. Foods that contain vitamin B are not known to be contraindicated while taking lithium. .
c. Signs of dependency and habituation are not a nursing consideration for clients taking lithium. .
d. Lithium must be taken at prescribed intervals to maintain therapeutic blood levels. .
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