A client with bipolar disorder is prescribed oral lithium carbonate. The practical nurse is implementing the client's plan of care. Which of the following actions should the practical nurse take to ensure safe pharmacological therapy? (Select all that apply.)
- Reinforce teaching with the client about the importance of maintaining a consistent daily dietary sodium intake.Cevap
- Notify the registered nurse immediately if the client develops coarse hand tremors and confusion.Cevap
- CFormulate an initial discharge teaching plan regarding long-term medication side effects.
- DWithhold the morning dose if the client's most recent serum lithium level is .
- Verify the client's name and date of birth against the medication administration record before providing the drug.Cevap
- FBypass barcode scanning of the medication if the client has been receiving the same dosage safely for several days.
Cevap
The practical nurse should reinforce teaching about consistent sodium intake, notify the registered nurse of coarse tremors and confusion, and verify two client identifiers before administration.
Safe pharmacological therapy for a client on lithium requires maintaining a consistent dietary sodium intake, as decreased sodium levels can lead to lithium retention and subsequent toxicity. Coarse hand tremors and confusion are severe manifestations of advanced lithium toxicity and must be reported to the registered nurse immediately. Additionally, standard medication safety protocols mandate that the nurse verify two distinct client identifiers (such as name and date of birth) before every medication administration, ensuring the right drug reaches the right client.
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Anahtar Kavram
Lithium Toxicity, Safe Medication Administration, and Practical Nurse Scope of Practice