Asked by Kellan Maxwell on Jun 13, 2024
Verified
An outpatient diagnosed with bipolar disorder is prescribed lithium. The patient telephones the nurse to say, "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse. What should I do?" The nurse will advise the patient to
A) restrict food and fluids for 24 hours and stay in bed.
B) have someone bring the patient to the clinic immediately.
C) drink a large glass of water with 1 teaspoon of salt added.
D) take one dose of an over-the-counter antidiarrheal medication now.
Lithium
A mood stabilizing drug often prescribed for the treatment of bipolar disorder, affecting the flow and balance of neurotransmitters in the brain.
Severe Diarrhea
An acute condition characterized by frequent, watery bowel movements that can lead to dehydration and electrolyte imbalances.
- Recognize and manage potential side effects of lithium therapy in bipolar disorder.
Verified Answer
SK
samarth kaushikJun 14, 2024
Final Answer :
B
Explanation :
The symptoms described suggest lithium toxicity. The patient should have a lithium level drawn and may require further treatment. Because neurological symptoms are present, the patient should not drive and should be accompanied by another person. The incorrect options will not ameliorate the patient's symptoms.
Learning Objectives
- Recognize and manage potential side effects of lithium therapy in bipolar disorder.
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