Question

The nurse is caring for a child with bipolar disorder. The child is taking lithium as ordered.

The parents inquire about the potential side effects. Which response by the nurse would be most appropriate?
A) You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea.
B) He might experience a significant decrease in his appetite and difficulty sleeping.
C) You need to watch for dry mouth, urinary retention, and constipation.
D) This medication can cause seizures, agitation, headache, and nausea.

Answer 1

The most appropriate response regarding lithium side effects for a child with bipolar disorder is excessive urination, thirst, tremor, nausea, weight gain, and diarrhea. It's important to monitor these side effects closely and manage them for the child's safety.

Step-by-step explanation:

The most appropriate response by the nurse when discussing potential side effects of lithium, which is prescribed for bipolar disorder, would be: 'You might see excessive urination and thirst, tremor, nausea, weight gain, and diarrhea.' These are common side effects of lithium, a mood stabilizer used in treating bipolar disorder. It is essential to monitor for these side effects to manage them effectively and to ensure the safety and well-being of the child.

Lithium can affect the body's electrolyte balance and kidney function, which is why excessive urination and thirst are observed. Tremors and weight gain are also known side effects that some patients experience. Nausea and diarrhea may occur, particularly when treatment is initiated or when the dosage is adjusted. Parents should also be aware of the need for regular blood tests to monitor lithium levels and kidney and thyroid function, as lithium has a narrow therapeutic range and requires close monitoring.