Georgette Review Exam Questions with
Correct Answers, ANCC Review Manual
PMHNP
When many solutions are remarkably comparable, they are normally _____________
wrong
Interprofessional collaboration is recommended.
Collaborate is commonly proper.
Delegate is commonly incorrect.
ADPIER
Assessment, prognosis, Plan, intervention, compare, refer out last.
Lithium
Normal zero.6-1.2
Lithium toxicity takes place at ranges
> 1.Five
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weak point, coronary heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold preferred for
MANIA
Lithium has proof shown to
reduce suicidal ideation
,What does lithium reason in neonate, specially 1st trimester
Ebstein anomaly (congenital heart disorder)
dehydration and hyponatremia cause lithium degrees to
rise
Baseline labs earlier than initiation of lithium
TSH
creatinine (zero.6-1.2)
BUN (10-20)
HCG (all psychotropics ladies 12-51)
EKG 50+
Urinalysis (check for proteins, four+ may suggest kidney sickness)
Side Effects of Lithium
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs and symptoms of toxicity. Monitor intently.
Anorexia
t wave inversions
leukocytosis
Pt schooling for lithimum
staying hydrated
avoiding NSAIDS
compliance
Depakote ordinary stage
50-a hundred twenty five
Depakote toxicity level
greater than a hundred and fifty
Teratogenic consequences of Depakote
spina bifida
,Adverse effects of depakote
alopecia
hepatotoxicity (RUQ pain or brown/pink urine--order LFTs) AST five-40, ALT 5-35, yellowing of
skin or eyes, fatigue
Signs of Depakote toxicity
disorientation, lethargy, respiration melancholy, nausea/vomiting
Intervention for depakote toxicity
DC med
check stage
LFT
ammonia
MAOI + tyramine reasons
hypertensive crisis
Symptoms of hypertensive disaster
expanded BP
surprising explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive disaster occurs with MAOI +
MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
bronchial asthma meds
Treatment for hypertensive disaster
, DC offending agent
Administer PHENTOLAMINE
Teratogenic outcomes of benzos
floppy baby, cleft palate
Teratogenic outcomes of tegratol
neural tube illness
teratogenic outcomes of lithium
ebstein anomaly (coronary heart disorder) (avoid, specially 1st trimester)
teratogenic results of depakote
neural tube defects/spina bifida
Adverse response to Lamictal
Steven Johnson's Syndrome
Signs of SJS
FEVER --excessive yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
frame aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least probably to purpose
sedation or weight advantage
Carbamazepine (tegretol) black field caution
agranulocytosis (decrease WBCs)
Correct Answers, ANCC Review Manual
PMHNP
When many solutions are remarkably comparable, they are normally _____________
wrong
Interprofessional collaboration is recommended.
Collaborate is commonly proper.
Delegate is commonly incorrect.
ADPIER
Assessment, prognosis, Plan, intervention, compare, refer out last.
Lithium
Normal zero.6-1.2
Lithium toxicity takes place at ranges
> 1.Five
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weak point, coronary heart
palpitation, coarse hand tremors, unsteady gait
Lithium is gold preferred for
MANIA
Lithium has proof shown to
reduce suicidal ideation
,What does lithium reason in neonate, specially 1st trimester
Ebstein anomaly (congenital heart disorder)
dehydration and hyponatremia cause lithium degrees to
rise
Baseline labs earlier than initiation of lithium
TSH
creatinine (zero.6-1.2)
BUN (10-20)
HCG (all psychotropics ladies 12-51)
EKG 50+
Urinalysis (check for proteins, four+ may suggest kidney sickness)
Side Effects of Lithium
hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs and symptoms of toxicity. Monitor intently.
Anorexia
t wave inversions
leukocytosis
Pt schooling for lithimum
staying hydrated
avoiding NSAIDS
compliance
Depakote ordinary stage
50-a hundred twenty five
Depakote toxicity level
greater than a hundred and fifty
Teratogenic consequences of Depakote
spina bifida
,Adverse effects of depakote
alopecia
hepatotoxicity (RUQ pain or brown/pink urine--order LFTs) AST five-40, ALT 5-35, yellowing of
skin or eyes, fatigue
Signs of Depakote toxicity
disorientation, lethargy, respiration melancholy, nausea/vomiting
Intervention for depakote toxicity
DC med
check stage
LFT
ammonia
MAOI + tyramine reasons
hypertensive crisis
Symptoms of hypertensive disaster
expanded BP
surprising explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
Hypertensive disaster occurs with MAOI +
MEPERIDINE
STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
bronchial asthma meds
Treatment for hypertensive disaster
, DC offending agent
Administer PHENTOLAMINE
Teratogenic outcomes of benzos
floppy baby, cleft palate
Teratogenic outcomes of tegratol
neural tube illness
teratogenic outcomes of lithium
ebstein anomaly (coronary heart disorder) (avoid, specially 1st trimester)
teratogenic results of depakote
neural tube defects/spina bifida
Adverse response to Lamictal
Steven Johnson's Syndrome
Signs of SJS
FEVER --excessive yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
frame aches
prodromal headache
malaise
arthralgia
painful mucus membranes
Lamotrigine is least probably to purpose
sedation or weight advantage
Carbamazepine (tegretol) black field caution
agranulocytosis (decrease WBCs)
