A client with bipolar disorder has a lithium drug concentration of 1.2 mEq/L. Which of the following would the nurse expect to assess? Select all that apply
A) Metallic taste
B) Ataxia
C) Diarrhea
D) Slurred speech
E) Fasciculations
F) Muscle weakness
Ans: A, C, F
Manifestations associated with a lithium concentration less than 1.5 mEq/L include a metallic taste in the mouth, diarrhea or loose stools, and muscular weakness or fatigue. Ataxia and slurred speech are associated with blood lithium concentration between 1.5 and 2.5 mEq/L. Fasciculations are associated with a lithium blood concentration over 2.5 mEq/L.
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