A client diagnosed with bipolar disorder,who has taken lithium carbonate (Lithane)for 1 year,presents in an emergency department with severe diarrhea,blurred vision,and tinnitus.How should the nurse interpret these symptoms?
A) Symptoms indicate consumption of foods high in tyramine.
B) Symptoms indicate lithium carbonate discontinuation syndrome.
C) Symptoms indicate the development of lithium carbonate tolerance.
D) Symptoms indicate lithium carbonate toxicity.

Question

Quizplus · Accepted Answer

The nurse should interpret that the client's symptoms indicate lithium carbonate toxicity.The initial signs of toxicity include ataxia,blurred vision,severe diarrhea,nausea and vomiting,and tinnitus.Lithium levels should be monitored monthly during maintenance therapy to ensure proper dosage.

A Client Diagnosed with Bipolar Disorder,who Has Taken Lithium Carbonate