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 _____________ 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 out last. Lithium correct answer: Normal 0.6-1.2 Lithium toxicity occurs at levels correct answer: 1.5 Signs of Lithium toxicity correct answer: severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for correct answer: MANIA Lithium has evidence shown to correct answer: reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester correct answer: Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to correct answer: rise Baseline labs before initiation of lithium correct 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 correct answer: 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 correct answer: staying hydrated avoiding NSAIDS compliance