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The nurse is assessing a group of clients prescribed lithium. The client at most significant risk for lithium toxicity is a client withA. asthma taking both long- and short-acting bronchodilators.B. chronic migraine headaches and was newly prescribed naproxen.C. hypertension newly prescribed clonidine transdermal patch.D. hypothyroidism and was recently prescribed levothyroxine.

Question

The nurse is assessing a group of clients prescribed lithium. The client at most significant risk for lithium toxicity is a client withA. asthma taking both long- and short-acting bronchodilators.B. chronic migraine headaches and was newly prescribed naproxen.C. hypertension newly prescribed clonidine transdermal patch.D. hypothyroidism and was recently prescribed levothyroxine.

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Solution

The client at most significant risk for lithium toxicity is the one with chronic migraine headaches and was newly prescribed naproxen.

Here's why:

Lithium is a medication often used to treat bipolar disorder. Lithium toxicity, which is also known as lithium overdose, can occur if you take too much of this medication.

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID). NSAIDs can decrease the excretion of lithium, which can lead to an increase in lithium levels in the body, potentially causing lithium toxicity.

The other conditions and medications listed (asthma and bronchodilators, hypertension and clonidine, hypothyroidism and levothyroxine) do not have the same risk of increasing lithium levels in the body. Therefore, the client with chronic migraine headaches who was newly prescribed naproxen is at the most significant risk for lithium toxicity.

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