Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
A nurse is caring for a clientNurses: Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the
morning assessment, the client reports blurred vision and an increase in urine output. it's noted
that the client is having clonic jerking of upper extremities: Provider notified and laboratory tests
ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options.
The nurse understands that the patient has likely developed lithium toxicity and will be monitored for-------
Correct answer
B
Rationale
The correct answer is B: seizure activity. Lithium toxicity can lead to neurological symptoms including seizures. Monitoring for seizure activity is crucial to prevent serious complications. Blood glucose levels (A) are not typically affected by lithium toxicity. Symptoms of infection (C) are unrelated to lithium toxicity. Monitoring temperature (D) is important but not specific to lithium toxicity.