A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply.

Choice A reason: Restricting sodium intake is not necessary with lithium carbonate, and maintaining a consistent sodium level is important to prevent lithium toxicity.

Choice B reason: Drinking excessive fluids can dilute lithium levels in the blood, potentially leading to subtherapeutic levels and reduced efficacy of the medication.

Choice C reason: Taking medications with food can help with absorption and minimize gastrointestinal side effects, but it is not specific to lithium carbonate.

Choice D reason: Having blood drawn on schedule is important for monitoring lithium levels and ensuring safe treatment.

Choice A reason: While having a large number of pets can be a sign of hoarding, it is not necessarily a concern unless it negatively impacts the living conditions.

Choice B reason: Becoming angry and upset when attempting to remove items is a common reaction in individuals who hoard, indicating an emotional attachment to possessions.

Choice C reason: Inability to enter rooms due to clutter is a clear sign of hoarding, as it indicates that the accumulation of items has significantly interfered with the intended use of living spaces.

Choice D reason: Obsessive cleaning of the same areas may indicate a different issue, such as obsessive-compulsive disorder, rather than hoarding.

Choice E reason: Throwing away items deemed "unnecessary" is not typically associated with hoarding behavior, as hoarding involves difficulty parting with items.