A nurse is preparing to teach a client about the prescription of lithium (Eskalith) for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?
Explanation & Rationale
Choice A Reason:Monitoring blood levels of lithium is essential, especially during the initial phase of treatment. Lithium has a narrow therapeutic range, and its levels can fluctuate based on several factors, including diet, hydration, and renal function. Regular blood tests help ensure that the lithium concentration stays within the therapeutic range, preventing toxicity or subtherapeutic dosin.Choice B Reason:While it is important to monitor for side effects such as severe diarrhea, stopping the medication abruptly without consulting a healthcare provider is not recommended. Severe diarrhea can affect lithium absorption and lead to dehydration, which may necessitate a dosage adjustment rather than complete cessation.Choice C Reason:Lithium is typically taken with meals to reduce gastrointestinal side effects, not on an empty stomach. Taking lithium on an empty stomach can increase the risk of nausea, diarrhea, and other gastrointestinal issues.Choice D Reason:Patients on lithium are advised to maintain a consistent intake of sodium. A low-salt diet can lead to increased lithium retention, which can increase the risk of toxicity. Therefore, patients should not consume a low-salt diet unless advised by their healthcare provider for other medical reasons.