A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

Choice A rationale:

Clients with obsessive-compulsive disorder (OCD) often benefit from maintaining control over their daily activities and schedules. Allowing the client autonomy in scheduling activities can help them manage their symptoms while feeling in control.

Choice B rationale:

Antipsychotic medications are not the first-line treatment for OCD, and their use would depend on the presence of other coexisting conditions.

Choice C rationale:

Providing ample time for rituals may inadvertently reinforce the compulsive behaviors associated with OCD. Cognitive-behavioral therapy (CBT) with exposure and response prevention is the recommended treatment for OCD.

Choice D rationale:

Implosion therapy, also known as flooding, exposes the client to anxiety-provoking stimuli in a controlled and safe environment. However, it is not typically the first-line treatment for OCD and requires careful implementation under the guidance of a mental health professional.