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    Ati rn comprehensive predictor 2023 retake proctored exam
    Select All That Apply

    The nurse is continuing to care for the client. Exhibits The nurse is providing teaching about lithium to the client and the client's adult child. Select the 3 statements the nurse should include.

    Explanation & Rationale

    Rationale: A. You will be placed on a low-sodium diet while taking this medication: A low-sodium diet is contraindicated with lithium because reduced sodium increases lithium reabsorption in the kidneys, raising serum levels and toxicity risk. Clients should instead maintain a consistent and adequate sodium intake. B. Blurred vision is an expected adverse effect of this medication: Blurred vision is not a typical or expected side effect of lithium. If it occurs, it may suggest toxicity or an unrelated visual issue requiring further evaluation. Routine lithium education focuses on tremor, GI upset, and polyuria not visual changes. C. This medication can cause nausea and drowsiness: Nausea, fatigue, and mild drowsiness are common side effects of lithium, especially during the initial stages of treatment. These effects are usually transient but should still be monitored, particularly as they may impact adherence. D. It will take at least a week before this medication reaches a therapeutic level: Lithium has a slow onset of action, and it typically takes 7 to 14 days to achieve therapeutic plasma concentrations. Symptom improvement may not be noticeable until this range is reached, so early expectations must be managed. E. This medication can cause weight gain: Weight gain is a common long-term side effect of lithium therapy, partly due to its effect on metabolism and fluid retention. Clients should be educated about dietary management and regular monitoring of weight.

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