hard · NCLEX-RN Psychosocial Integrity
A client is receiving lithium carbonate for the treatment of bipolar disorder. Which findings would require the RN to suspect lithium toxicity and hold the next dose? Select all that apply.
- Polyuria and reports of increased thirst (polydipsia).
- Coarse hand tremors and persistent gastrointestinal upset (vomiting/diarrhea).
- The client reports a mild, fine tremor that occurs only when they are anxious.
- Development of ataxia, slurred speech, and mental confusion.
- The client's serum lithium level is 1.8 mEq/L (Reference: 0.6-1.2 mEq/L).
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