Author Question: A 21-year-old client has been diagnosed with bipolar disorder and has begun treatment with lithium ... (Read 47 times)

Collmarie · **on:** Jul 19, 2018

A 21-year-old client has been diagnosed with bipolar disorder and has begun treatment with lithium carbonate.

The nurse has taught the client about the importance of having the requisite blood samples drawn at the scheduled times to monitor blood levels of the drug. What is the therapeutic level of lithium?
A) 1 to 1.5 mEq/L
B) 1.5 to 2 mEq/L
C) 2 to 2.5 mEq/L
D) 2.5 to 3 mEq/L

Question 2

A 28-year-old client is being treated with lithium carbonate for bipolar disorder. Which of the following factors will increase his risk for lithium toxicity?

A) The client works in a paint factory.
B) The client eats cheeses and smoked meats.
C) The client drinks caffeinated beverages.
D) The client works out at the gym vigorously.

srodz · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Feedback:
Lithium is administered orally in slow-release form to produce therapeutic serum levels from 1 to 1.5 mEq/L. Maintenance doses range from 0.6 to 1.2 mEq/L.

Answer to Question 2

Ans: D
Feedback:
Lithium toxicity can occur when the body's sodium levels are lowered and absorption is disrupted. Predisposing factors include excessive heat, diaphoresis, concurrent use of diuretics, and decreased sodium intake.