hard · NCLEX-RN psychosocial

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.

  1. Polyuria and reports of increased thirst (polydipsia).
  2. Coarse hand tremors and persistent gastrointestinal upset (vomiting/diarrhea).
  3. The client reports a mild, fine tremor that occurs only when they are anxious.
  4. Development of ataxia, slurred speech, and mental confusion.
  5. The client's serum lithium level is 1.8 mEq/L (Reference: 0.6-1.2 mEq/L).

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