A patient is receiving lithium for manic episodes. The patienttakes psyllium for constipation. The patient is very upset thatthere has to be ongoing serum monitoring levels for the medication.(Learning Objectives 2 and 5)

  1. What are the key nursing implementation considerations forpatients receiving lithium?
  2. What should the nurse instruct the patient to do about takingpsyllium and lithium together?
  3. What key nursing assessment considerations must be completedfor this patient on lithium?
  4. Why is it critical that the patient have serum monitoringlevels drawn for the medication?
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