Author Question: A client who has received lithium for 3 weeks to control acute mania has the following symp-toms: ... (Read 69 times)

nummyann · **on:** Jul 19, 2018

A client who has received lithium for 3 weeks to control acute mania has the following symp-toms: coarse hand tremor, diarrhea, vomiting, lethargy, and mild confusion. The priority nursing action should be to:

1. Administer prn Cogentin to relieve extrapyramidal symptoms
2. Provide reassurance that the symptoms are transient
3. Obtain a stat lithium level; hold lithium pending results
4. Decrease the sodium in the client's diet

Question 2

Which statement by a client with generalized anxiety disorder for whom lorazepam (Ativan) is prescribed prn suggests the client understands the purpose of the medication?

1. I can talk with my therapist more easily after my medication takes effect.
2. I wonder if I will have to take this medication for the rest of my life.
3. I don't want anyone to know I'm on this medication.
4. I'm going to ask for my prn so I can sleep instead of go to group.

matt95 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
The symptoms the client is experiencing are consistent with moderate lithium toxicity. The nurse should hold lithium, obtain a stat lithium level, and notify the physician. 1. This is inappropriate; the symptoms are not EPS. 2. The nurse may reassure the client but cannot suggest that the symptoms will resolve over time. 4. This would worsen lithium toxicity.

Answer to Question 2

ANS: 1
The client recognizes the therapeutic effects of the medication in assisting her to work effectively with the therapist. Option 2 shows lack of knowledge. Option 3 displays lack of acceptance of having an anxiety disorder. Option 4 shows problem avoidance.