Question

An elderly client's lithium (Lithobid) level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to:

1. hold the lithium and notify the physician.
2. reassure the client that these are normal adverse effects.
3. administer another lithium dose.
4. discontinue the lithium.

Answer 1

The nurse should hold the lithium dose and inform the physician due to signs of lithium toxicity in the elderly client.

Step-by-step explanation:

The elderly client's lithium level is 1.4 mEq/L, and she is experiencing symptoms such as diarrhea, tremors, and nausea. Considering these are signs of lithium toxicity, the nurse's first action should be to hold the lithium and notify the physician. It is crucial not to administer another dose or discontinue the lithium without a physician's direction as it could lead to more severe health consequences or a sudden change in treatment that requires medical supervision.