The nurse is caring for a client who is prescribed lithium.
Which laboratory tests would be necessary for the nurse to monitor? Select all that apply.
The nurse is caring for a client who is prescribed lithium.
Which laboratory tests would be necessary for the nurse to monitor? Select all that apply.
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Psychiatric Medications
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Lithium may cause an individual to develop nephrotoxicity, and nephrotoxicity may precipitate lithium toxicity. The nurse should monitor this level closely.
Choice C is correct. Lithium may cause an individual to develop hypothyroidism.
Choice D is correct. Hyponatremia may precipitate lithium toxicity. The client's serum sodium level should be monitored. The client should be encouraged to have a consistent level of sodium and 2-3 liters of water daily.
Choice A is incorrect. Troponin is a cardiac marker and not relevant to lithium therapy.
Choice E is incorrect. Potassium levels would not influence lithium the way sodium does. Thus, sodium is the essential electrolyte to monitor.
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