Author Question: The nurse is teaching a client with bipolar disorder about their newly prescribed lithium carbonate ... (Read 115 times)

wrbasek0 · **on:** Jul 19, 2018

The nurse is teaching a client with bipolar disorder about their newly prescribed lithium carbonate (Lithobid). Which is the correct instructional information?

1. Serum levels must be tested regularly
2. For fine hand tremors, take a double dose of the medication.
3. Decrease salt and fluid intake
4. Discontinue the medication when feeling better

Question 2

When working with a client who has exhibited a pattern of violent outbursts followed by remorse, a nurse's plan of care should focus on:

1. Decreasing the client's stressors.
2. Developing effective anger management techniques.
3. Offering the client family counseling.
4. Identifying the client's strengths.

l.stuut · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: Serum levels must be tested regularly to prevent drug toxicity. The client must have adequate salt and fluid intake. The medication must be continued when the client is feeling better because discontinuance may precipitate mania. Since fine hand tremors may indicate lithium toxicity, a double dose of the medication may increase symptoms of toxicity.

Answer to Question 2

2
Rationale: Among these answer choices, only anger management techniques may assist the client to develop healthier ways to deal with frustration that leads to violent outbursts. The other options may improve the client's and family's wellbeing, but do not address the abusive behaviors.