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GEORGETTE-S LMR MODULE 1 & 2 QUESTIONS AND ANSWERS
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GEORGETTE-S LMR MODULE 1 & 2 QUESTIONS AND ANSWERS
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GEORGETTE'S LMR MODULE 1 & 2 QUESTIONS ANDANSWERS
1. Test Taking Strategies - Answers- Read the entire question carefully before
answering and identifying what the question is seeking. Do not skim over the words or
read them too quickly.
Þ When reading the question pay attention to keywords.
2. Test Taking Strategies - Answers- Do not read into the question. Only use the
information provided by the examiner to answer the question without making any
assumptions or adding more information in the question.
3. Test Taking Strategies - Answers- Read all the answer choices.
Þ Narrow down options to 2 possible right answers.
Þ Partially correct answers are not the correct answer.
Þ When two answer choices are the opposite of one another, one is usually the correct
answer.
Þ The right answer option might have the same word(s) as the test question; it can be
the same word or synonym of the word.
Þ Choose client-focused answers.
· Best Answer/Choice: Answers that acknowledge a patient's feelings and makes the
patient feel heard.
Þ When many response choices are remarkably similar in meaning, they usually are
wrong.
Þ Be wary of absolutes: all, only, always, every, must, never, none, everything, nothing,
etc. usually wrong.
4. Test Taking Strategies - Answers- Questions that use adjectives like "priority," "Initial
action," test your ability to prioritize.
Þ Airway, Breathing, and Circulation,
Þ Maslow's Hierarchy of Needs (physiological needs (food, water, warmth, rest), safety,
and security, etc.).
Þ Nursing Process (Assessment before intervention). Assessment is collecting data to
support the problem towards a resolution.
5. Test Taking Strategies - Answers- Safety for the patient and others is usually the right
answer.
6. Test Taking Strategies - Answers- Culture is important to be included in all nursing
care.
7. Test Taking Strategies - Answers- Critical thinking is important.
8. Test Taking Strategies - Answers- Interprofessional collaboration is encouraged.
,Refer Out
Lithium (0.6-1.2 mEq/L) (PB pg. 180) - Answers- Lithium toxicity can occur when this
level reaches 1.5 mEq/L or higher.
What is the normal value of lithium? - Answers- 0.6-1.2 mEq/L
What medication is the gold standard when treating manic episodes? - Answers-
Lithium
Which medication for the treatment of Bipolar 1 has evidence of anti-suicidal effects? -
Answers- Lithium
Which medication is neuroprotective treatment of choice for bipolar? - Answers- Lithium
Baseline labs to get before initiation of lithium to ensure safety and efficacy (PB pg. 180)
- Answers- · Thyroid panel (TSH)
· Serum creatine (0.6-1.2 mg/dl)
· Blood urea nitrogen (BUN) (10-20 mg/dl)
· Pregnancy test (human chorionic gonadotropin (HCG)
· ECG for clients older than age 50
Side effects of Lithium (PB pg. 181)
Endocrine - Answers- Hypothyroidism
Weight gain
Side effects of Lithium (PB pg. 181)
Central nervous system - Answers- Fine hand tremors
Fatigue
Mental cloudiness
Headaches
Coarse hand tremors occur with toxicity
Nystagmus
Side effects of Lithium (PB pg. 181)
Dermatological - Answers- Maculopapular rash
Pruritis
Acne
Side effects of Lithium (PB pg. 181)
Gastrointestinal - Answers- GI upset
Diarrhea
Vomiting
Cramps
Anorexia
, Side effects of Lithium (PB pg. 181)
Renal - Answers- Diabetes insipidus: Polyuria, Polydipsia
Edema
Microscopic tubular changes
Side effects of Lithium (PB pg. 181)
Cardiac - Answers- T-wave inversions
Dysrhythmia
Side effects of Lithium (PB pg. 181)
Hematologic - Answers- Leukocytosis (Increases WBCs)
Signs of Lithium toxicity - Answers- Severe nausea, vomiting, and diarrhea, confusion,
convulsions, drowsiness, blurred vision, slurred speech, muscle weakness, heart
palpitations, coarse hand tremors, and unsteadiness while standing or walking (ataxia).
What is the pregnancy risk for benzodiazepines? - Answers- Floppy baby syndrome,
cleft palate.
What is the pregnancy risk for Carbamazepine (Tegretol)? - Answers- Neural tube
defect.
What is the pregnancy risk for Lithium (Eskalith)? - Answers- Epstein anomaly
(congenital heart defect).
What is the pregnancy risk for Divalproex sodium (Depakote)? - Answers- Neural tube
defects, specifically spina bifida.
Side effects of mood stabilizers (PB pg. 181, 8th bullet point after the table) - Answers-
Lamictal
What is the black box warning of mood stabilizers? - Answers- Stevens Johnson
syndrome (severe rash).
Signs and symptoms of Steven Johnson Syndrome include: (PB pg. 184) - Answers- ·
Fever
· Sore throat
· Facial swelling
· Tongue swelling
· Rash
· Skin sloughing
· Prodromal headache, malaise, arthralgia (joint stiffness), and painful mucous
membranes may occur before rash occurs.
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