100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Georgette Review PMHNP Exam 100% Correct $15.89
Add to cart
Quickly navigate to
Preview
  2.  
  3. PMHNP
  4.  
  5. PMHNP

Exam (elaborations)

Georgette Review PMHNP Exam 100% Correct

 0 purchase
  • Course
  • PMHNP
  • Institution
  • PMHNP

Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Review PMHNP Exam 100% Correct Georgette Re...

[Show more]

Preview 4 out of 33  pages

Document information

  • May 15, 2024
  • 33
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • PMHNP
  • PMHNP

Seller

avatar-seller
Solution001Master

Reviews received

Content preview

Georgette Review PMHNP Exam 100% Correct When many answers are remarkably similar, they are usually _____________ ✔✔ - wrong Interprofessional collaboration is encouraged. ✔✔ - Collaborate is usually right. Delegate is usually wrong. ADPIER ✔✔ - Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium ✔✔ - Normal 0.6 -1.2 Lithium toxicity occurs at levels ✔✔ - > 1.5 Signs of Lithium toxicity ✔✔ - severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weak ness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for ✔✔ - MANIA Lithium has evidence shown to ✔✔ - reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester ✔✔ - Ebstein anomaly (cong enital heart defect) dehydration and hyponatremia cause lithium levels to ✔✔ - rise Baseline labs before initiation of lithium ✔✔ - TSH creatinine (0.6 -1.2) BUN (10 -20) HCG (all psychotropics females 12 -51) EKG 50+ Urinalysis (check for proteins, 4+ may indicate kidney disease) Side Effects of Lithium ✔✔ - hypothyroidism coase hand tremors with toxicity maculopapular rash diarrhea, vomiting, cramps --signs of toxicity. Monitor closely. anorexia t wave inversions leukocytosis Pt education for lithimum ✔✔ - staying hydrated avoiding NSAIDS compliance Depakote normal level ✔✔ - 50-125 Depakote toxicity level ✔✔ - greater than 150 Teratogenic effects of Depakote ✔✔ - spina bifida Adverse effects of depakote ✔✔ - alopecia hepatotoxicity (RUQ pain or brown/red urine --order LFTs) AST 5 -40, ALT 5 -35, yellowing of skin or eyes, fatigue Signs of Depakote toxicity ✔✔ - disorientation, lethargy, respiratory depression, nausea/vomiting Intervention for depakote toxicity ✔✔ - DC med check level LFT ammonia MAOI + tyramine causes ✔✔ - hypertensive crisis Symptoms of hypertensive crisis ✔✔ - elevated BP sudden explosive like headache facial flushing palpitations pupillary dilation diaphoresis fever Hypertensive crisis occurs with MAOI + ✔✔ - MEPERIDINE STIMULANTS decongestants TCAs atypicals St. John's wart L-tryptophan asthma meds Treatment for hypertensive crisis ✔✔ - DC offending agent Administer PHENTOLAMINE Teratogenic effects of benzos ✔✔ - floppy baby, cleft palate Teratogenic effects of tegratol ✔✔ - neural tube defect teratogenic effects of lithium ✔✔ - ebstein anomaly (heart defect) (avoid, especially 1st trimester) teratogenic effects of depakote ✔✔ - neural tube defects/sp ina bifida Adverse reaction to Lamictal ✔✔ - Steven Johnson's Syndrome Signs of SJS ✔✔ - FEVER --high yield sore throat facial swelling tongue swelling red rash skin sloughing body aches prodromal headache malaise arthralgia painful mucus membranes Lamotrigine is least likely to cause ✔✔ - sedation or weight gain Carbamazepine (tegretol) black box warning ✔✔ - agranulocytosis (decrease WBCs) aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOA) Carbamazepine an d asians ✔✔ - Screen for HLAB -1502 allele before initiating, due to high incidence of SJS if positive for allele. Child -bearing aged women ✔✔ - check for pregnancy before starting mood stabilizer start on folic acid to support neural tube development during the first month that a woman is pregnant Clozaril/clozapine can cause ✔✔ - agranulocytosis and neutropenia For monitoring neutropenia in Clozaril, monitor ✔✔ - ANC DC clozarli if ANC ✔✔ - less than 1000 DC clozaril if WBC ✔✔ - 2000 -3000, risk of agranulocytosis When on clozaril monitor for ✔✔ - signs and symptoms of infection: sudden fever, chills, sore throat, weakness Clozaril only known antipsychotic to ✔✔ - decrease risk of suicide in patients with schizophrenia. Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts your office and asks whether the lithium you prescribed him is effecting his ECG. How do you respond? A. Lithium can prolong the QT interval B. Lithium has no effe ct on his ECG C. Lithium can invert the t waves D. Lithium can shorten the PR interval ✔✔ - Answer: Lithium can invert the t waves. Mary is a 45 -year-old African American female who has been treated on Isocarboxazid (Marplan) for over 6 years. Mary is g oing in for a surgical procedure. Which medication is strictly contraindicated with Isocarboxazid? A. Morphine B. NSAIDS C. Methylphenidate D. Acetaminophen ✔✔ - Answer: Methylphenidate You are treating a client with schizophrenia who takes clozapine. W hat lab values will indicate the client needs to discontinue treatment? A. WBC less than 1800 and ANC less than 1200 B. ANC less than 1,000 C. WBC less than 5,000 D. ANC less than 2000 ✔✔ - Answer: ANC less than 1000 If given during pregnancy, socium va lproate can cause which of the following medical problems in the baby? A. SJS B. Ebstein's anomaly C. Spina bifida D. Cleft palate ✔✔ - A. Spina bifida Which mood stabilizer is associated with potential life -threatening rash in the Asian population? A. Carbamazepine (tegretol) B. Depakote C. Lithium D. Lamictal ✔✔ - A. Carbamazepine Bulimia, weight is ___________ ✔✔ - within the normal range. Pharm treatment for bulimia ✔✔ - Fluoxetine SSRIs and TCAs effective in reducing binging and purging

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Solution001Master. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.89. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$15.89
  • (0)
Add to cart
Added