Andrew Phillips, age 17, was diagnosed with bipolar illness with acute mania at age 15. He was stabilized with lithium for the manic periods and is also taking valproic acid. This fall, he played...

Andrew Phillips, age 17, was diagnosed with bipolar illness with acute mania at age 15. He was stabilized with lithium for the manic periods and is also taking valproic acid. This fall, he played football and is looking forward to playing baseball this spring and summer. Although they have a close relationship, his parents have concerns about his dietary habits and postgame festivities, especially now that he is driving and they are not available to monitor the situation.

1. Considering Andrew’s activities and eating habits, what risks are possible and what assessments would the nurse make to ensure Andrew’s lithium dosage remains effective and within a therapeutic range?

2. What suggestions could the nurse make that would help Andrew participate fully in his sports interests and post-game festivities?

3. What strategies might the nurse suggest for helping Andrew’s parents participate in his activities and care?