Bipolar & Mood Stabilizers: Lithium Monitoring Quiz

1. Which finding indicates early lithium toxicity?

Coarse tremor and hyperreflexia

Fine tremor and nausea

Bradycardia and hypotension

Pupil dilation and agitation

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3. Which symptom suggests moderate lithium toxicity requiring intervention?

Fine tremor only

Vomiting, diarrhea, and confusion

Mild nausea

Slight increase in urination

4. Thyroid function tests should be monitored in patients on long-term lithium therapy. True or False?

True

False

5. A patient's lithium level is 2.5 mEq/L. What is the most appropriate nursing action?

Continue current dose and recheck in one week

Hold the dose and notify the provider immediately

Increase the dose to reach therapeutic level

Switch to a different mood stabilizer

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7. Which mood stabilizer is associated with Stevens-Johnson syndrome?

Lithium

Lamotrigine

Valproic acid

Topiramate

8. A patient on lithium develops polyuria and polydipsia. What adverse effect is this?

Nephrogenic diabetes insipidus

Thyroid dysfunction

Hyperglycemia

Adrenal insufficiency

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10. Lithium is safe to use during pregnancy. True or False?

True

False

11. What is the therapeutic serum lithium level for acute mania?

0.5–1.2 mEq/L

1.0–1.5 mEq/L

1.5–2.0 mEq/L

2.0–2.5 mEq/L

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13. What is the onset time for lithium's therapeutic effect in bipolar disorder?

2–3 days

1–2 weeks

3–4 weeks

6–8 weeks

14. Which mood stabilizer requires monitoring of white blood cell count?

Lithium

Valproic acid

Carbamazepine

Lamotrigine

15. Lithium is contraindicated in patients with severe kidney disease. True or False?

True

False

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17. Which drug interaction increases lithium levels by decreasing renal clearance?

Acetaminophen

NSAIDs

Antibiotics

Antacids

18. How often should serum lithium levels be monitored during the first week of therapy?

Daily

Every 2–3 days

Weekly

Monthly

19. A patient on lithium reports tremors, confusion, and ataxia. What condition is most likely?

Lithium toxicity

Therapeutic effect

Withdrawal syndrome

Hypomania

20. Which electrolyte imbalance increases the risk of lithium toxicity?

Hyperkalemia

Hypokalemia

Hypernatremia

Hyponatremia

Mood Stabilizer Quiz: Can You Monitor Lithium?

1. Which finding indicates early lithium toxicity?

2.

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

2. Patients on bipolar & mood stabilizers should have baseline and periodic ____ levels checked.

3. Which symptom suggests moderate lithium toxicity requiring intervention?

4. Thyroid function tests should be monitored in patients on long-term lithium therapy. True or False?

5. A patient's lithium level is 2.5 mEq/L. What is the most appropriate nursing action?

6. Lithium is eliminated primarily through the ____.

7. Which mood stabilizer is associated with Stevens-Johnson syndrome?

8. A patient on lithium develops polyuria and polydipsia. What adverse effect is this?

9. Valproic acid requires baseline and periodic monitoring of ____ function.

10. Lithium is safe to use during pregnancy. True or False?

11. What is the therapeutic serum lithium level for acute mania?

12. Patients on lithium should avoid excessive ____ intake to prevent dehydration.

13. What is the onset time for lithium's therapeutic effect in bipolar disorder?

14. Which mood stabilizer requires monitoring of white blood cell count?

15. Lithium is contraindicated in patients with severe kidney disease. True or False?

16. A patient taking lithium should maintain consistent ____ intake to prevent toxicity.

17. Which drug interaction increases lithium levels by decreasing renal clearance?

18. How often should serum lithium levels be monitored during the first week of therapy?

19. A patient on lithium reports tremors, confusion, and ataxia. What condition is most likely?

20. Which electrolyte imbalance increases the risk of lithium toxicity?