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.

A. “It will take at least a week before this medication reaches a therapeutic level.” Lithium reaches therapeutic plasma levels in approximately 5–7 days. Clients should be informed that mood stabilization and symptom improvement may not be immediate and may take up to 2–3 weeks. B. “You will be placed on a low-sodium diet while taking this medication.” This is contraindicated because low sodium intake can increase lithium reabsorption by the kidneys, significantly raising the risk of lithium toxicity. A stable and adequate sodium intake is essential. C. “This medication can cause weight gain” Weight gain is a common side effect of lithium, often related to changes in metabolism, appetite increase, and fluid retention. Clients should be monitored and provided with dietary and activity guidance. D. “Blurred vision is an expected adverse effect of this medication.” Blurred vision is not an expected effect of lithium and may indicate toxicity or another medical condition. Any visual changes should prompt immediate evaluation rather than be considered routine. E. “This medication can cause nausea and drowsiness.” These are common early side effects of lithium, especially during initiation. Taking the medication with food and adjusting administration times may help reduce gastrointestinal upset and sedation.