A nurse is caring for a client who has bipolar disorder Exhibits Drag words from the choices below to fill in each blank in the following sentence. After assessing the client and reviewing the client's medical record, the nurse determines that the client could be experiencing which of the following? The client could be experiencing dropdownand dropdown.

Rationale for Correct Answers: Lithium toxicity: The client’s lithium level is 1.8 mEq/L, which exceeds the therapeutic range of 0.8 to 1.2 mEq/L. Combined with symptoms like diarrhea, vomiting, coarse tremors, confusion, and ataxia, this strongly suggests lithium toxicity, a medical emergency that requires immediate intervention. Hypothyroidism: The thyroid profile shows low T3 (71 ng/dL) and free T4 (0.6 ng/dL), along with low-normal TSH (0.3 mu/mL). These values are consistent with hypothyroidism, which can be a side effect of long-term lithium use. Symptoms such as lethargy and disorientation may also reflect thyroid dysfunction. Rationale for Incorrect Choices: Hyperglycemia: The glucose level is 100 mg/dL, which is within the normal reference range. The client has no symptoms of hyperglycemia such as polyuria, polydipsia, or blurred vision. Acute kidney injury: The client’s BUN (18 mg/dL) and creatinine (0.9 mg/dL) are within normal limits, indicating that kidney function is preserved at this time and does not meet the criteria for acute kidney injury.