Podcast
Questions and Answers
A patient with bipolar disorder is prescribed lithium. Which of the following instructions should the nurse emphasize regarding fluid intake?
A patient with bipolar disorder is prescribed lithium. Which of the following instructions should the nurse emphasize regarding fluid intake?
- Restrict fluid intake to minimize the risk of hyponatremia.
- Increase fluid intake only when experiencing manic symptoms.
- Reduce fluid intake when experiencing depressive symptoms to avoid fluid retention.
- Maintain a consistent daily fluid intake, especially during periods of increased sweating. (correct)
A patient taking lithium reports experiencing persistent nausea, vomiting, and diarrhea. What is the priority nursing intervention?
A patient taking lithium reports experiencing persistent nausea, vomiting, and diarrhea. What is the priority nursing intervention?
- Encourage the patient to continue taking the medication with food.
- Administer an antiemetic and monitor for improvement.
- Advise the patient to reduce the lithium dosage until symptoms subside.
- Immediately assess the patient for signs of lithium toxicity and notify the healthcare provider. (correct)
Why is it important to routinely monitor a patient's thyroid function while they are taking lithium?
Why is it important to routinely monitor a patient's thyroid function while they are taking lithium?
- Lithium is known to enhance thyroid hormone production, potentially leading to hyperthyroidism.
- Lithium can interfere with thyroid hormone synthesis, increasing the risk of hypothyroidism. (correct)
- Thyroid issues can mask the symptoms of bipolar disorder, complicating lithium treatment.
- Thyroid function monitoring helps to adjust lithium dosages for optimal mood stabilization.
A patient on lithium is also prescribed a thiazide diuretic for hypertension. What potential interaction should the nurse monitor for?
A patient on lithium is also prescribed a thiazide diuretic for hypertension. What potential interaction should the nurse monitor for?
Which statement best describes how lithium helps in the management of bipolar disorder?
Which statement best describes how lithium helps in the management of bipolar disorder?
Which of the following assessment findings would warrant withholding lithium and contacting the prescriber immediately?
Which of the following assessment findings would warrant withholding lithium and contacting the prescriber immediately?
A patient with bipolar disorder who is stable on lithium presents with new onset of a persistent, dry cough. Which of the following actions is most appropriate?
A patient with bipolar disorder who is stable on lithium presents with new onset of a persistent, dry cough. Which of the following actions is most appropriate?
A patient on lithium develops hypothyroidism. What changes to the lithium prescription should the nurse anticipate, if any?
A patient on lithium develops hypothyroidism. What changes to the lithium prescription should the nurse anticipate, if any?
A young adult with bipolar disorder is started on lithium. Which of the following instructions is most important to emphasize regarding pregnancy and family planning?
A young adult with bipolar disorder is started on lithium. Which of the following instructions is most important to emphasize regarding pregnancy and family planning?
A patient taking lithium is scheduled for elective surgery requiring general anesthesia. What specific instruction should the nurse provide regarding their lithium dosage prior to the procedure?
A patient taking lithium is scheduled for elective surgery requiring general anesthesia. What specific instruction should the nurse provide regarding their lithium dosage prior to the procedure?
A patient taking lithium reports increased thirst and frequent urination. What initial assessment should the nurse prioritize?
A patient taking lithium reports increased thirst and frequent urination. What initial assessment should the nurse prioritize?
A patient with bipolar disorder is prescribed lithium. Which of the following statements indicates the patient understands important dietary considerations while taking this medication?
A patient with bipolar disorder is prescribed lithium. Which of the following statements indicates the patient understands important dietary considerations while taking this medication?
A patient on lithium is also prescribed ibuprofen for occasional headaches. What potential interaction should the nurse discuss with the patient?
A patient on lithium is also prescribed ibuprofen for occasional headaches. What potential interaction should the nurse discuss with the patient?
A nurse is providing education to a patient who is starting lithium therapy. Which of the following statements about monitoring parameters is most accurate?
A nurse is providing education to a patient who is starting lithium therapy. Which of the following statements about monitoring parameters is most accurate?
A patient with bipolar disorder who has been stable on lithium for several years develops a tremor, and is concerned about Parkinson's disease. What information should the nurse provide?
A patient with bipolar disorder who has been stable on lithium for several years develops a tremor, and is concerned about Parkinson's disease. What information should the nurse provide?
A patient with bipolar disorder has been on lithium for several months and reports experiencing mild hand tremors that are becoming bothersome. What is the most appropriate initial nursing intervention?
A patient with bipolar disorder has been on lithium for several months and reports experiencing mild hand tremors that are becoming bothersome. What is the most appropriate initial nursing intervention?
A patient presents to the emergency department with confusion, coarse tremors, and muscle twitching. The patient's medication list includes lithium. Which lab value is most important for the nurse to check first?
A patient presents to the emergency department with confusion, coarse tremors, and muscle twitching. The patient's medication list includes lithium. Which lab value is most important for the nurse to check first?
A nurse is assessing a patient who is prescribed lithium. Which of the following findings requires immediate intervention?
A nurse is assessing a patient who is prescribed lithium. Which of the following findings requires immediate intervention?
A patient on lithium is started on a low-sodium diet due to hypertension. What adjustments to their lithium prescription should the nurse anticipate, if any?
A patient on lithium is started on a low-sodium diet due to hypertension. What adjustments to their lithium prescription should the nurse anticipate, if any?
Which of the following instructions is most crucial for a patient who is being discharged from the hospital on lithium?
Which of the following instructions is most crucial for a patient who is being discharged from the hospital on lithium?
Flashcards
Lithium indications
Lithium indications
Primarily used to treat bipolar disorder (BD).
Lithium mechanism of action
Lithium mechanism of action
Not fully understood, but it affects neurotransmitters and stabilizes mood.
Common side effects of lithium
Common side effects of lithium
Tremors, increased thirst, frequent urination, and weight gain.
Patient monitoring (Lithium)
Patient monitoring (Lithium)
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Important patient education (Lithium)
Important patient education (Lithium)
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Lithium's action
Lithium's action
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Patient Parameters: Monitor?
Patient Parameters: Monitor?
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Lithium Use
Lithium Use
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Lithium's Main Action
Lithium's Main Action
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Common Lithium Side Effects
Common Lithium Side Effects
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Lithium Monitoring
Lithium Monitoring
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Lithium Patient Education
Lithium Patient Education
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Study Notes
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Description
This lesson covers lithium, a drug used to treat bipolar disorder. It details the indications for use, including euphoric mania, rapid cycling, and maintenance therapy. It also includes considerations for prescribing lithium.
