Question

A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements made by the client indicates an understanding of the teaching?

A. "I will report any loss of appetite"
B. "increased flatulence is an indication of toxicity"
C. "vomiting is an indication of toxicity"
D. "I will call my provider if I experience any headaches"

Answer 1

Understanding that vomiting is a sign of lithium toxicity indicates the client is aware of the important symptoms. Other symptoms like loss of appetite may also be relevant, but vomiting is more specific to toxicity.

Step-by-step explanation:

The client's statement "vomiting is an indication of toxicity" indicates a correct understanding of the teaching about lithium toxicity. Manifestations of lithium toxicity can indeed include gastrointestinal symptoms such as vomiting, as well as other side effects like diarrhea, loss of appetite, and significant tremors. Reporting these symptoms to a healthcare provider is critical for managing lithium levels and preventing further toxicity.

It is worth mentioning that while loss of appetite and headaches may be related to lithium use, they are not as specific as vomiting in indicating potential toxicity. Increased flatulence alone is not typically a sign of lithium toxicity and therefore does not indicate an adequate understanding of the teaching about symptoms to watch for.