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LMR Georgette’s PMHNP Certification Exam Latest Questions And Correct Answers(Verified Answers)

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LMR Georgette’s PMHNP Certification Exam Latest Questions And Correct Answers(Verified Answers) Leave the first rating Save Terms in this set (246) What do you do if a patient on lithium has dark brown urine? Check renal function What do you do if a patient presents with fever while on Clozaril? Check ANC level to assess for agranulocytosis What can cause serotonin syndrome? Antidepressants, St. John's Wort, Same-E, Kava Kava, and Tryptophan What labs are indicative of NMS? Elevated WBC (over 11,000) and elevated CPK S/S of NMS muscle rigidity, hyperthermia, tachycardia, abnormal bp, sweating, altered mental status, cherry colored urine What should you do if a patient presents with cherry colored urine? Check for rhabdo with CPK s/s of serotonin syndrome hyperreflexia, muscle spasms, myoclonus (involuntary muscle jerk), fever, tachycardia, HTN, shits and shivers What two medications to give with NMS? bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer What medication to give during SS? cyproheptadine (Periactin)- 5HT-2A receptor antagonist What is the onset and typical length of NMS? Slow onset (1-2 weeks after changing or starting therapy) and resolves within 9-14 days

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LMR Georgette’s PMHNP Certification
Exam Latest 2024-2025 Questions And
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Terms in this set (246)


What do you do if a Check renal function
patient on lithium
has dark brown
urine?

What do you do if a Check ANC level to assess for
patient presents agranulocytosis
with fever while on
Clozaril?

What can cause Antidepressants, St. John's Wort, Same-E,
serotonin Kava Kava, and Tryptophan
syndrome?

What labs are Elevated WBC (over 11,000) and elevated
indicative of NMS? CPK

muscle rigidity, hyperthermia, tachycardia,
S/S of NMS abnormal bp, sweating, altered mental
status, cherry colored urine

, What should you do Check for rhabdo with CPK
if a patient presents
with cherry colored
urine?

hyperreflexia, muscle spasms, myoclonus
s/s of serotonin
(involuntary muscle jerk), fever,
syndrome
tachycardia, HTN, shits and shivers

What two bromocriptine (Parlodel)- D2 agonist
medications to give dantrolene- muscle relaxer
with NMS?

What medication to cyproheptadine (Periactin)- 5HT-2A
give during SS? receptor antagonist

What is the onset Slow onset (1-2 weeks after changing or
and typical length starting therapy) and resolves within 9-14
of NMS? days

What is the onset of Within 24 hours of starting/changing
SS? medication and resolves within a few days

How do you NMS has a slower onset while acute
distinguish between dystonia occurs within hours
NMS and acute
dystonia?

What happens with Increased risk of lithium toxicity (gout
lithium and meds, ibuprophen, naproxen, etc.)
NSAIDs?

What happens with Increased risk of lithium toxicity related to
lithium and ACE the increased urination from the ACE
inhibitors? inhibitors
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