Psychotic Disorders no. 4100

Psychotic Disorders no. 4100

QUESTION: A physician prescribes lithium for a client diagnosed with bipolar disorder. The nurse needs to provide appropriate education for the client receiving this drug. Which topics should the nurse cover? Select all that apply:

✘O a.)The potential for addiction
✓O b.) Signs and symptoms of drug toxicity
✘O c.)The potential for tardive dyskinesia
✘O d.)Information regarding a low-tyramine diet
The need to report for laboratory testing to monitor blood levels.
Changes in his mood may take 7 to 21 days

RATIONALE

RATIONALE: Client education should cover the signs and symptoms of drug toxicity as well as the need to report them to the physician. The client should be instructed to report for follow-up laboratory studies to monitor his lithium level to avoid toxicity. The nurse should explain that 7 to 21 days may pass before the client notes a change in his mood. Lithium doesn't have addictive properties. Tyramine is a potential concern for clients taking monoamine oxidase inhibitors.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
COGNITIVE LEVEL: Application