A patient has been taking lithium for 5 days. The nurse notes his ...

[cabate]

A patient has been taking lithium for 5 days. The nurse notes his gait is a little unsteady with a walker, and he complains of thirst and insomnia. Which finding is most important for the nurse to report?
 
  a. Manic behavior
  b. Unsteady gait
  c. Thirst
  d. Insomnia

Question 2

The nurse is educating a patient with a new prescription for lithium carbonate. Which information is most important for the nurse to include in the teaching plan?
 
  a. It can take up to two weeks for Lithium to reach a therapeutic level in the body.
  b. Lithium is often given in conjunction with loop diuretics.
  c. Carefully restrict sodium intake to less than 1 gram/day.
  d. Take medication before breakfast for maximum effectiveness.

[javimendoza7]

Answer to Question 1

B
While all findings should be reported, uncoordinated movement is a sign of lithium toxicity and the priority finding. The patient is likely taking lithium to treat manic behavior. Thirst and in-somnia are expected side effects of lithium and not indicative of toxicity.

Answer to Question 2

A
Lithium may take 7-14 days to reach therapeutic level in the body. Diuretics should be avoided while on Lithium therapy. Patients should not restrict sodium intake since low sodium levels could cause Lithium toxicity. Medication should be taken with meals to decrease gastric distress.