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2024 LMR - GEORGETTE'S PMHNP CERTIFICATION EXAM LATEST 2024 REAL EXAM 630+ QUESTIONS AND CORRECT ANSWERS|AGRADE R289,25   Add to cart

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2024 LMR - GEORGETTE'S PMHNP CERTIFICATION EXAM LATEST 2024 REAL EXAM 630+ QUESTIONS AND CORRECT ANSWERS|AGRADE

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2024 LMR - GEORGETTE'S PMHNP CERTIFICATION EXAM LATEST 2024 REAL EXAM 630+ QUESTIONS AND CORRECT ANSWERS|AGRADE

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  • February 9, 2024
  • 57
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • LMR - GEORGETTE'S PMHNP
  • LMR - GEORGETTE'S PMHNP

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LMR Georgette’s PMHNP Certification 2024 Questions And Correct Answers(Verified Answers) AGRADE A client presents with complains of changes in appetite, feeling fatigued, problems with sleep -rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of these functions? A. Thalamus B. Hypothalamus C. Limbic System D. Hippocampus Hypothalamus A, B, & D are all part of the limbic system so you can rule that out When a patient is hesitant to participate in treatment you should encourage? Bring a support person like a husband Thyroid -Stimulating hormone normal level 0.5-
5.0 Mu/L When T4 and T3 are high and TSH is low what is the diagnosis HYPERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms HEAT INTOLERANCE Key symptoms of Heat Intolerance Hyperthyroidism When T4 and T3 are Low and TSH is high what is the diagnosis (HYPOTHYROIDISM) TSH secretion increased: TSH HIGH à COLD INTERANCE Key symptoms of Cold Intolerance Hypothyroidism Hyperthyroid can mimic Mania Hypothyroid can mimic Depression A patient on depakote complains of RUQ pain and has reddish/brown urine Hepatoxicity -Check LFTs Signs of Depakote toxicity Disorientation, confusion, lethargy You suspect depakote toxicity what do you do? Check -LFT -Ammonia -Depakote Level What herbal supplement can cause hepatoxicity? Kava Kava When taking Kava Kava in combinations with other medications you should caution about Risk of Hepatoxicity and Sedation TCAs carry a risk of Hepatotoxicity Signs of Stevens -Johnson Syndrome -fever, mouth pain, swelling, burning eyes, blisters, skin pain two psychotropics k nown to cause steven johnson syndrome lamictal and tegretol What nationality is most suseptible of getting steven johnson? Asians When treating asians with tegretal screen for? HLAB -1502 Allele What two medications cause agranulocytosis? Clozaril & Tegretal Agranulocytosis when to discontinue medication Less than 1000 When monitoring for agranulocytosis in patients look for s/s of what? Infection -Fever, sore throat, fatigue, chills Before starting any mood stabilizer in a female of childbearing age be sure to check? HCG Which two medications may decrease the risk of suicide? clozaril and lithium Medications that increase lithium level NSAID -ibuprofen, INDOCIN THIAZIDES -hydrochlorithiazide ACE INHIBITORS -lisinopril Ace inhib itors are treatment of choice for? Heart Failure Certain medications are known to increase lithium level, but HOW? by reducing renal clearance When educating a patient about lithium teach them about Hyponatremia Dehydration -hot days, exercis e Normal Lithium Level 0.6-1.2 Lithium Toxicity 1.5 or above Discontinue and re-order lithium level Lithium level of 1.4 Monitor for toxicity Labs before starting lithium TSH, BUN, CREATININE, HCG, U/A to check for presence of protein in the urine (4+ protein is concerning for renal impairment)à4+ protein in urine=MONITOR FOR TOXICITY 4+ protein in the urine of a patient on lithium

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