A client taking lithium for bipolar disorder reports vomiting and diarrhea for 2 days. The client also started ibuprofen for back pain. The nurse notes coarse hand tremor and unsteady gait. Which action should the nurse take first?

• 1 Administer the next lithium dose early to prevent mood relapse.
• 2 Teach the client to take lithium with food and recheck the level at the next visit.
• 3 Hold lithium and notify the prescriber; anticipate serum lithium, BMP, hydration, and toxicity evaluation. ✓ Correct answer
• 4 Encourage a low-sodium diet to reduce fluid retention from lithium.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.