Question

A client with a diagnosis of bipolar disorder is being seen in the clinic. The healthcare provider prescribed Lithium. Which of the following is important for the ambulatory care nurse to teach the client?

1) You can breastfeed while taking the medication
2) Low sodium levels can lead to toxicity
3) Minimize fluid intake
4) There is no need to use contraceptives while on this medication

Answer 1

The ambulatory care nurse should teach the client about monitoring sodium levels, minimizing fluid intake, and the impact of Lithium on contraception while taking the medication.

Step-by-step explanation:

When managing a patient with bipolar disorder who is prescribed Lithium, it is important for the ambulatory care nurse to teach the client about various aspects of medication management. One crucial aspect is monitoring sodium levels to prevent toxicity. Low sodium levels can lead to increased Lithium levels in the blood, which can be toxic. Therefore, clients should be educated about the importance of maintaining a normal sodium intake and seeking medical attention if they experience symptoms of Lithium toxicity.

Additionally, it is important to inform the client about the need to minimize fluid intake while on Lithium. This is because excessive fluid intake can dilute the Lithium levels in the blood, potentially reducing the effectiveness of the medication in controlling bipolar symptoms.

Lastly, it is essential to address contraceptive use while taking Lithium. Some medications, including Lithium, can interact with hormonal contraceptives and reduce their effectiveness. It is therefore necessary to inform clients about the potential impact of Lithium on contraception and discuss alternative contraceptive methods with them