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GEORGETTE'S REVIEW PMHNP LMR Questions and Answers 2025
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GEORGETTE'S REVIEW PMHNP LMR Questions and Answers 2025
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1GEORGETTE'S REVIEW PMHNP LMR Questions and Answers 2025
When many answers are remarkably similar, they are usually _____________
ANS: ✔✔- wrong
Interprofessional collaboration is encouraged. ANS: ✔✔- Collaborate is
usually right.
Delegate is usually wrong.
ADPIER ANS: ✔✔- Assessment, diagnosis, Plan, intervention, evaluate,
refer out last.
Lithium ANS: ✔✔- Normal 0.6-1.2
Lithium toxicity occurs at levels ANS: ✔✔- > 1.5
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,2
Signs of Lithium toxicity ANS: ✔✔- severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors,
unsteady gait
Lithium is gold standard for ANS: ✔✔- MANIA
Lithium has evidence shown to ANS: ✔✔- reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester ANS: ✔✔-
Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to ANS: ✔✔- rise
Baseline labs before initiation of lithium ANS: ✔✔- TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
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,3
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium ANS: ✔✔- 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 ANS: ✔✔- staying hydrated
avoiding NSAIDS
compliance
Depakote normal level ANS: ✔✔- 50-125
Depakote toxicity level ANS: ✔✔- greater than 150
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, 4
Teratogenic effects of Depakote ANS: ✔✔- spina bifida
Adverse effects of depakote ANS: ✔✔- 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 ANS: ✔✔- disorientation, lethargy,
respiratory depression, nausea/vomiting
Intervention for depakote toxicity ANS: ✔✔- DC med
check level
LFT
ammonia
MAOI + tyramine causes ANS: ✔✔- hypertensive crisis
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