A client taking lithium reports diarrhea, coarse tremor, and confusion. The lithium level is 2.0 mEq/L. What is the nurse’s priority action?

Question

Accepted Answer

B. Hold lithium and notify the provider; assess hydration and renal function — A level of 2.0 mEq/L with symptoms indicates toxicity. Hold the medication, notify the provider, support hydration, and anticipate further treatment (IV fluids, possible hemodialysis) depending on severity.

Answer

A. Give the next dose to maintain therapeutic level

Answer

C. Restrict fluids and sodium to prevent dilution

Answer

D. Give an NSAID for headache and tremor