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NCLEX-RN

Category - Pharmacological

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A client taking lithium carbonate (Lithobid) reports severe diarrhea, slurred speech, tinnitus, blurred vision, and muscle twitching. The nurse should expect the serum lithium level to be:

0.3 mEq/L
0.6 mEq/L
1.2 mEq/L
1.7 mEq/L

Explanation

Answer: D - The therapeutic level of lithium is between 0.6 and 1.2 mEq/L. The signs demonstrated by the client suggest moderate lithium toxicity.

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