A nurse is teaching a client who has bipolar disorder about lithium.

Which of the following statements should the nurse include in the teaching?.

"Take the medication on an empty stomach.”.

"You might produce extra saliva while taking this medication.”.

"Notify your provider if you experience vomiting or diarrhea.”.

"Decrease your fluid intake to 1 liter per day.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Taking lithium on an empty stomach is not necessary. Lithium can be taken with or without food.
Choice B rationale:
Excessive salivation is not a common side effect of lithium.
Choice C rationale:
Vomiting or diarrhea can lead to dehydration, which increases the risk of lithium toxicity by reducing the excretion of lithium. Therefore, it’s important to notify your provider if you experience these symptoms.
Choice D rationale:
Decreasing fluid intake can lead to dehydration and increase the risk of lithium toxicity. It’s recommended to maintain a normal fluid intake while taking lithium.

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Correct Answer is D

Explanation

Choice A rationale:

While acknowledging the voices can be part of therapeutic communication, it’s not the first response a nurse should make.

Choice B rationale:

Telling the client that the voices are part of their illness can be helpful, but it’s not the first response a nurse should make.

Choice C rationale:

Asking about the frequency of the voices can be part of the assessment, but it’s not the first response a nurse should make.

Choice D rationale:

Asking what the voices are saying can help assess if the client is experiencing command hallucinations, which could pose a safety risk.

A. "What are the voices telling you to do?". B. "Why do you think you are hearing the voices?". C. "You need to understand that there are no voices.”. D. "You need to tell the voices to leave you alone.”.

Correct Answer is A

Explanation

Choice A rationale:

Asking “What are the voices telling you to do?” shows empathy and concern without validating the hallucination.

Choice B rationale:

Asking “Why do you think you are hearing the voices?” might imply that the nurse is validating the hallucination.

Choice C rationale:

Telling the client “You need to understand that there are no voices.”. might make the client feel misunderstood.

Choice D rationale:

Telling the client “You need to tell the voices to leave you alone.”. is not recommended as it might validate the hallucination.

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A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is teaching a client who has bipolar disorder about lithium.

Which of the following statements should the nurse include in the teaching?.