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Georgette Review PMHNP/ Quizzes with Certified Ans.

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Georgette Review PMHNP/ Quizzes with Certified Ans. Terms like: When many answers are remarkably similar, they are usually _____________ - Answer: wrong Interprofessional collaboration is encouraged. - Answer: Collaborate is usually right. Delegate is usually wrong.

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  • September 14, 2024
  • 61
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Georgette PMHNP
  • Georgette PMHNP
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Pronurse1
Georgette Review PMHNP/ Quizzes with
Certified Ans.
When many answers are remarkably similar, they are usually _____________ -
Answer: wrong


Interprofessional collaboration is encouraged. - Answer: Collaborate is usually
right.
Delegate is usually wrong.


ADPIER - Answer: Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.


Lithium - Answer: Normal 0.6-1.2

Page 1 of 61

,Lithium toxicity occurs at levels - Answer: > 1.5


Signs of Lithium toxicity - Answer: severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady
gait


Lithium is gold standard for - Answer: MANIA


Lithium has evidence shown to - Answer: reduce suicidal ideation


What does lithium cause in neonate, especially 1st trimester - Answer: Ebstein
anomaly (congenital heart defect)


dehydration and hyponatremia cause lithium levels to - Answer: rise


Baseline labs before initiation of lithium - 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 - Answer: hypothyroidism
coase hand tremors with toxicity

Page 2 of 61

,maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis


Pt education for lithimum - Answer: staying hydrated
avoiding NSAIDS
compliance


Depakote normal level - Answer: 50-125


Depakote toxicity level - Answer: greater than 150


Teratogenic effects of Depakote - Answer: spina bifida


Adverse effects of depakote - Answer: 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 - Answer: disorientation, lethargy, respiratory
depression, nausea/vomiting


Intervention for depakote toxicity - Answer: DC med
check level

Page 3 of 61

, LFT
ammonia


MAOI + tyramine causes - Answer: hypertensive crisis


Symptoms of hypertensive crisis - Answer: elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever


Hypertensive crisis occurs with MAOI + - Answer: MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds


Treatment for hypertensive crisis - Answer: DC offending agent
Administer PHENTOLAMINE



Page 4 of 61

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