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
Lithium NCLEX Question: S&S of Toxicity
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