5. A client is on lithium for management of bipolar disorder. Which signs and symptoms should indicate to a nurse that the client is at risk for severe toxicity?
5. A client is on lithium for management of bipolar disorder. Which signs and symptoms should indicate to a nurse that the client is at risk for severe toxicity?
Test-Taking Tip
Eliminate Answers 2 and 4 because these are more mild side effects of lithium. Eliminate Answer 3 because this is an adverse effect of neuroleptics.
Content Area: Mental Health, Pharmacology; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is correct because motor weakness and lethargy are early signs of toxicity. Answer 2 is incorrect because this is an initial side effect and should diminish with time. Answer 3 is incorrect because tardive dyskinesia is a result related to prolonged use of neuroleptics, not lithium. Answer 4 is incorrect because this is an expected mild side effect or an allergic reaction.
