Stage 5 — Take action. After recovery, which teaching points should the nurse include to reduce recurrent lithium toxicity? Select all that apply.

Select All That Apply

Choose your responses, then check the answer.

1 Maintain a consistent prescribed intake of fluid and dietary salt rather than making abrupt changes 2 Contact the prescriber promptly for prolonged vomiting, diarrhea, fever, or heavy sweating 3 Ask the prescriber or pharmacist before using NSAIDs, diuretics, or other new medications 4 Keep scheduled lithium, kidney, thyroid, and electrolyte monitoring appointments 5 Double the next lithium dose after a missed dose to restore the prescribed serum concentration 6 Stop scheduled lithium, kidney, thyroid, and electrolyte monitoring once mood symptoms are controlled

Explanation

Stable fluid and sodium intake, sick-day contact, interaction screening, and ongoing laboratory surveillance reduce recurrence. Doubling doses and stopping monitoring are unsafe because lithium has a narrow therapeutic range and depends on renal and electrolyte status.

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Stage 5 — Take action. After recovery, which teaching points should the nurse include to reduce recurrent lithium toxicity? Select all that apply.

Select All That Apply

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