The nurse is preparing to administer a dose of lithium (Lithobid) to a patient who has been taking the drug as maintenance therapy to treat bipolar disorder. The nurse assesses the patient and notes tremors and confusion. The patient's latest serum lithium level was 2 mEq/L. Which action will the nurse take?

Question

Quizplus · Accepted Answer

The patient's symptoms of tremors and confusion, along with a serum lithium level of 2 mEq/L, indicate that the patient may be experiencing toxicity from the medication. The nurse should hold the dose and notify the provider to assess the patient's condition and adjust the medication if necessary. Administering the dose or requesting a higher dose could exacerbate the symptoms of toxicity and put the patient at risk for further complications. Requesting a lower dose may be appropriate, but the healthcare provider should make this decision after assessing the patient's condition.

The Nurse Is Preparing to Administer a Dose of Lithium