Lithium Quiz: Therapeutic Or Toxic?

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3. How frequently should serum lithium levels be monitored after stabilization?

Daily

Weekly

Monthly to every 3 months

Annually

4. A patient reports polyarthralgia and edema while on lithium. What is this called?

Lithium-induced psoriasis

Lithium-induced arthralgia

Lithium-induced myositis

Lithium-induced gout

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6. Which patient education point is essential for those on lithium therapy?

Avoid all sodium-containing foods

Maintain consistent sodium and fluid intake

Take lithium on an empty stomach

Skip doses if experiencing tremor

7. What is the half-life of lithium in the body?

6–12 hours

12–24 hours

24–36 hours

48–72 hours

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9. Dehydration and sodium depletion increase the risk of lithium toxicity. Why?

Lithium competes with sodium for renal reabsorption

Dehydration increases GI absorption

Sodium enhances lithium excretion

Lithium requires sodium for metabolism

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11. Lithium is primarily used to treat which psychiatric condition?

Major depressive disorder only

Bipolar disorder, especially acute mania

Generalized anxiety disorder

Obsessive-compulsive disorder

12. Which monitoring parameter must be assessed before initiating lithium therapy?

Blood glucose

Renal function and thyroid function

Liver enzymes only

Hemoglobin levels

13. A patient presents with confusion, ataxia, and coarse tremor while on lithium. What is the priority nursing action?

Give activated charcoal

Check serum lithium level immediately

Increase fluid intake

Administer diuretics

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15. Which drug interaction increases lithium serum levels by reducing renal clearance?

Theophylline

NSAIDs

Acetaminophen

Antacids

16. How long after starting lithium should the first serum level be drawn?

2–4 hours

24 hours

3–5 days

1–2 weeks

17. A patient on lithium therapy reports polyuria and polydipsia. What condition is likely developing?

Nephrogenic diabetes insipidus

Hyperglycemia

Acute kidney injury

Thyroid dysfunction

18. Which organ is most affected by chronic lithium therapy?

Heart

Liver

Kidneys

Lungs

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20. What is the therapeutic serum level range for lithium in acute mania?

0.5–1.0 mEq/L

1.0–1.5 mEq/L

1.5–2.0 mEq/L

2.0–2.5 mEq/L

Lithium Quiz: Therapeutic or Toxic?

1. Lithium's mechanism of action in bipolar disorder involves inhibiting ____.

2.

What first name or nickname would you like us to use?

2. Severe lithium toxicity may require treatment with hemodialysis because lithium is ____.

3. How frequently should serum lithium levels be monitored after stabilization?

4. A patient reports polyarthralgia and edema while on lithium. What is this called?

5. Lithium is contraindicated in patients with severe ____.

6. Which patient education point is essential for those on lithium therapy?

7. What is the half-life of lithium in the body?

8. Early signs of lithium toxicity include nausea, vomiting, and ____.

9. Dehydration and sodium depletion increase the risk of lithium toxicity. Why?

10. A patient on lithium is at increased risk for hypothyroidism due to lithium's effect on the ____.

11. Lithium is primarily used to treat which psychiatric condition?

12. Which monitoring parameter must be assessed before initiating lithium therapy?

13. A patient presents with confusion, ataxia, and coarse tremor while on lithium. What is the priority nursing action?

14. Lithium-induced tremor is classified as a ____-frequency tremor.

15. Which drug interaction increases lithium serum levels by reducing renal clearance?

16. How long after starting lithium should the first serum level be drawn?

17. A patient on lithium therapy reports polyuria and polydipsia. What condition is likely developing?

18. Which organ is most affected by chronic lithium therapy?

19. Lithium toxicity typically begins to manifest at serum levels above ____.

20. What is the therapeutic serum level range for lithium in acute mania?