Georgette Review Practice Test PMHNP Correctly Answered.

Georgette Review Practice Test PMHNP Correctly Answered. When many answers are remarkably similar, they are usually _____________ - CORRECT ANSWER wrong Interprofessional collaboration is encouraged. - CORRECT ANSWER Collaborate is usually right. Delegate is usually wrong. ADPIER - CORRECT ANSWER Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium - CORRECT ANSWER Normal 0.6-1.2 Lithium toxicity occurs at levels - CORRECT ANSWER 1.5 Signs of Lithium toxicity - CORRECT ANSWER severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - CORRECT ANSWER MANIA Lithium has evidence shown to - CORRECT ANSWER reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester - CORRECT ANSWER Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to - CORRECT ANSWER rise Baseline labs before initiation of lithium - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER staying hydrated avoiding NSAIDS compliance Depakote normal level - CORRECT ANSWER 50-125 Depakote toxicity level - CORRECT ANSWER greater than 150 Teratogenic effects of Depakote - CORRECT ANSWER spina bifida Adverse effects of depakote - CORRECT ANSWER alopecia hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue