# A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regarding monitoring serum lithium levels and maintaining adequate fluid and sodium intake?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497503&lang=vi  
> language: vi  
> subject: NCLEX-RN  
> category: PPT

## Câu hỏi

A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regarding monitoring serum lithium levels and maintaining adequate fluid and sodium intake?

## Lựa chọn

1. Monitor vital signs and assess laboratory values prior to administration.
2. Administer the medication with a full glass of water every morning.
3. Instruct the client to report any unexpected side effects immediately.
4. Verify the prescription details with the healthcare provider. **✔ Đáp án đúng**

**Đáp án đúng: 4**

## Giải thích

When administering Lithium, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.

## Giải thích chuyên sâu

1. Scenario: Patient taking Spironolactone.
2. Recognize Cues: Evaluate 고칼륨혈증 감시 및 칼륨 보충제 섭취 제한.
3. Take Action: Ensure safe administration protocols.
4. Evaluate: Re-assess therapeutic response.

## Khái niệm chính

- **Spironolactone (스피로놀락톤)** — 칼륨 보존성 이뇨제로 고칼륨혈증 징후인 부정맥과 근육 약화를 확인해요.

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