This video is about Lithium Q 4

QUESTION #4

A client with bipolar disorder is taking lithium and is experiencing diarrhea and vomiting. Which of the

following nursing interventions should the nurse do first?

A. Recognize this as a drug interaction

B. Give the client Cogentin

C. Reassure the client that these are common side effects of lithium therapy

D. Hold the next dose and obtain an order for a stat serum lithium level

 These symptoms are probably not due to drug interaction.

 Cogentin is used to manage the extrapyramidal symptom side effects of antipsychotics.

 The most common side effects of Lithium are fine hand tremors, nausea, polyuria and polydipsia.

 Diarrhea and vomiting are manifestations of Lithium toxicity. Notify the doctor. The next dose of

lithium should be withheld and a blood test should be done to check the Lithium level.

The correct answer is D

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