100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Georgette Review. PMHNP- 388 QUESTIONS- WITH COMPLETE SOLUTIONS $13.49   Add to cart

Exam (elaborations)

Georgette Review. PMHNP- 388 QUESTIONS- WITH COMPLETE SOLUTIONS

 6 views  0 purchase

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 ou...

[Show more]

Preview 4 out of 33  pages

  • August 19, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • pmhnp
All documents for this subject (25)
avatar-seller
MasterGrade
Georgette Review. PMHNP- 388 QUESTIONS- WITH
COMPLETE SOLUTIONS

,Georgette Review. PMHNP- 388 QUESTIONS- WITH
COMPLETE SOLUTIONS

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 weakness, 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
(congenital 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

,Georgette Review. PMHNP- 388 QUESTIONS- WITH
COMPLETE SOLUTIONS
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

, Georgette Review. PMHNP- 388 QUESTIONS- WITH
COMPLETE SOLUTIONS
teratogenic effects of lithium - ebstein anomaly (heart defect) (avoid, especially 1st
trimester)

teratogenic effects of depakote -neural tube defects/spina 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 and 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.

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 MasterGrade. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79650 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart