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A nurse is caring for a client who has bipolar disorder and is taking lithium carbonate (Lithobid). Which of the following laboratory tests should be monitored periodically while the client is taking this medication?
Choice A is wrong because thyroid function tests are not routinely required for clients taking lithium carbonate. However, lithium can cause hypothyroidism in some cases, so thyroid function tests may be done if the client has symptoms of low thyroid hormone levels, such as fatigue, weight gain, or cold intolerance.
Choice B is wrong because liver function tests are not necessary for clients taking lithium carbonate. Lithium does not affect the liver enzymes or cause liver damage.
Renal function tests should be monitored periodically while the client is taking lithium carbonate (Lithobid). This is because lithium can cause renal impairment and electrolyte imbalances, which can affect the kidney function and increase the risk of lithium toxicity. Renal function tests can include blood urea nitrogen (BUN), creatinine, and urine specific gravity.
Choice D is wrong because coagulation studies are not relevant for clients taking lithium carbonate. Lithium does not affect the blood clotting factors or increase the risk of bleeding.
Renal function tests should be monitored periodically while the client is taking lithium carbonate (Lithobid). This is because lithium can cause renal impairment and electrolyte imbalances, which can affect the kidney function and increase the risk of lithium toxicity. Renal function tests can include blood urea nitrogen (BUN), creatinine, and urine specific gravity.
Choice A is wrong because thyroid function tests are not routinely required for clients taking lithium carbonate. However, lithium can cause hypothyroidism in some cases, so thyroid function tests may be done if the client has symptoms of low thyroid hormone levels, such as fatigue, weight gain, or cold intolerance.
Choice B is wrong because liver function tests are not necessary for clients taking lithium carbonate. Lithium does not affect the liver enzymes or cause liver damage.
Choice D is wrong because coagulation studies are not relevant for clients taking lithium carbonate. Lithium does not affect the blood clotting factors or increase the risk of bleeding.