A medication teaching plan for a patient receiving lithium should ...

[ahriuashd]

A medication teaching plan for a patient receiving lithium should include
 
  a. directions to eat one or two bananas daily.
  b. dietary teaching to limit daily sodium intake.
  c. the need to restrict daily fluid intake to 1000 ml.
  d. the importance of laboratory testing to monitor the lithium level.

Question 2

A patient diagnosed with borderline personality disorder impulsively self-mutilates and has severe mood lability with explosive outbursts, poor interpersonal relations, and inability to sustain employment
 
  Which referrals should the nurse consider for the patient? Select all that apply.
  a. Dialectic behavior therapy
  b. Alcoholics Anonymous
  c. Vocational rehabilitation
  d. Desensitization therapy
  e. Anger management

[juiceman1987]

Answer to Question 1

D
Maintaining serum lithium levels within 0.6 and 1.2 mEq/L is vital to symptom control. The patient must be made aware that frequent monitoring will foster symptom control and prevent toxicity. The other options are inappropriate in a teaching plan.

Answer to Question 2

A, C, E
Referral to dialectic behavior therapy will address self-mutilation and interpersonal relations and might address mood lability. Vocational counseling can help with employment problems. Assertiveness training and anger management will address the explosive outbursts. Desensitization therapy is used for patients with phobias. There is no evidence of alcohol abuse.

[ahriuashd]

TYSM

[tkempin]

Wow, this really help