A client taking lithium reports worsening diarrhoea, coarse hand tremors, blurred vision, and unsteady walking. Which action should the nurse take?
Correct answer: B. Hold lithium and notify the prescriber promptly
- A. Give the next lithium dose with food
- B. Hold lithium and notify the prescriber promptly
- C. Encourage vigorous exercise to reduce tremors
- D. Reassure the client that these effects are expected
Explanation
Diarrhoea, coarse tremor, visual changes, and ataxia suggest lithium toxicity and require withholding the drug and prompt medical review. Mild fine tremor or thirst may occur during treatment, but marked neurological and gastrointestinal findings are unsafe to dismiss.
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About Mood and Anxiety Disorders
Mood and anxiety disorders include major depression, bipolar disorder, generalized anxiety, panic disorder, phobias, and obsessive-compulsive disorder. Key areas include depressive and manic symptoms, suicide risk, anxiety levels, diagnostic differences, and nursing interventions, while distinguishing normal sadness or fear from clinically impairing conditions.
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