The nurse provides teaching for a patient who will begin taking lithium (Lithibid). Which statement by the patient indicates understanding of the teaching?
a. "I may drink tea or cola but not coffee."
b. "I may stop taking the drug when mania symptoms subside."
c. "I should consume a sodium-restricted diet."
d. "I should drink 2 to 3 liters of fluid each day."
ANS: D
Patients taking lithium should be encouraged to maintain adequate fluid intake of 2 to 3 L/day initially and then 1 to 2 L/day as maintenance. Patients should not drink any caffeine-containing drinks, including tea and cola. Patients must continue taking lithium even when symptoms subside, or else symptoms will recur. It is not necessary to consume a sodium-restricted diet.
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