r/BootcampNCLEX

Saw this come up while studying and it's the kind of question that catches people even when they know the content. Posting for anyone who wants a quick check.

A nurse is reassessing a 45-year-old patient with bipolar disorder who has been taking lithium 600 mg twice daily for 6 weeks. The patient reports new-onset coarse hand tremor, diarrhea, and confusion. The most recent lithium level is 1.8 mEq/L. Which action should the nurse take FIRST?

A) Encourage the patient to drink extra fluids

😎 Hold the next dose of lithium and notify the provider

C) Administer the next scheduled dose with food

D) Reassure the patient that these are common side effects

Drop your answer and reasoning. I'll come back in a few hours, more like between12 or 24 hrs😎, and post the rationale plus why each distractor is tempting.

Also curious for those who got it wrong, what tipped you toward the wrong answer? That's usually where the real learning is.