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Georgette Review PMHNP. Questions and correct answers

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Georgette Review PMHNP. Questions
and correct answers
WhenKmanyKanswersKareKremarkablyKsimilar,KtheyKareKusuallyK_____________K-
KCORRECTKANSWER-wrong



InterprofessionalKcollaborationKisKencouraged.K-KCORRECTKANSWER-CollaborateKisKusuallyKright.K

DelegateKisKusuallyKwrong.

ADPIERK-KCORRECTKANSWER-Assessment,Kdiagnosis,KPlan,Kintervention,Kevaluate,KreferKoutKlast.

LithiumK-KCORRECTKANSWER-NormalK0.6-1.2

LithiumKtoxicityKoccursKatKlevelsK-KCORRECTKANSWER->K1.5

SignsKofKLithiumKtoxicityK-KCORRECTKANSWER-
severeKnausea,Kdiarrhea,Kvomiting,Kconfusion,Kdrowsiness,KmuscleKweakness,KheartKpalpitation,Kc
oarseKhandKtremors,KunsteadyKgait

LithiumKisKgoldKstandardKforK-KCORRECTKANSWER-MANIA

LithiumKhasKevidenceKshownKtoK-KCORRECTKANSWER-reduceKsuicidalKideation

WhatKdoesKlithiumKcauseKinKneonate,KespeciallyK1stKtrimesterK-KCORRECTKANSWER-
EbsteinKanomalyK(congenitalKheartKdefect)

dehydrationKandKhyponatremiaKcauseKlithiumKlevelsKtoK-KCORRECTKANSWER-rise

BaselineKlabsKbeforeKinitiationKofKlithiumK-KCORRECTKANSWER-TSH

creatinineK(0.6-1.2)

BUNK(10-20)

HCGK(allKpsychotropicsKfemalesK12-51)

EKGK50+

UrinalysisK(checkKforKproteins,K4+KmayKindicateKkidneyKdisease)

SideKEffectsKofKLithiumK-KCORRECTKANSWER-hypothyroidism

coaseKhandKtremorsKwithKtoxicity

maculopapularKrash

,diarrhea,Kvomiting,Kcramps--signsKofKtoxicity.KMonitorKclosely.K

anorexia

tKwaveKinversions

leukocytosis

PtKeducationKforKlithimumK-KCORRECTKANSWER-stayingKhydrated

avoidingKNSAIDS

compliance

DepakoteKnormalKlevelK-KCORRECTKANSWER-50-125

DepakoteKtoxicityKlevelK-KCORRECTKANSWER-greaterKthanK150

TeratogenicKeffectsKofKDepakoteK-KCORRECTKANSWER-spinaKbifida

AdverseKeffectsKofKdepakoteK-KCORRECTKANSWER-alopecia

hepatotoxicityK(RUQKpainKorKbrown/redKurine--orderKLFTs)KASTK5-40,KALTK5-
35,KyellowingKofKskinKorKeyes,Kfatigue

SignsKofKDepakoteKtoxicityK-KCORRECTKANSWER-
disorientation,Klethargy,KrespiratoryKdepression,Knausea/vomiting

InterventionKforKdepakoteKtoxicityK-KCORRECTKANSWER-DCKmed

checkKlevel

LFT

ammonia

MAOIK+KtyramineKcausesK-KCORRECTKANSWER-hypertensiveKcrisis

SymptomsKofKhypertensiveKcrisisK-KCORRECTKANSWER-elevatedKBP

suddenKexplosiveKlikeKheadache

facialKflushing

palpitations

pupillaryKdilation

diaphoresis

fever

,HypertensiveKcrisisKoccursKwithKMAOIK+K-KCORRECTKANSWER-MEPERIDINE

STIMULANTS

decongestants

TCAs

atypicals

St.KJohn'sKwart

L-tryptophan

asthmaKmeds

TreatmentKforKhypertensiveKcrisisK-KCORRECTKANSWER-DCKoffendingKagent

AdministerKPHENTOLAMINE

TeratogenicKeffectsKofKbenzosK-KCORRECTKANSWER-floppyKbaby,KcleftKpalate

TeratogenicKeffectsKofKtegratolK-KCORRECTKANSWER-neuralKtubeKdefect

teratogenicKeffectsKofKlithiumK-KCORRECTKANSWER-
ebsteinKanomalyK(heartKdefect)K(avoid,KespeciallyK1stKtrimester)

teratogenicKeffectsKofKdepakoteK-KCORRECTKANSWER-neuralKtubeKdefects/spinaKbifida

AdverseKreactionKtoKLamictalK-KCORRECTKANSWER-StevenKJohnson'sKSyndrome

SignsKofKSJSK-KCORRECTKANSWER-FEVERK--highKyield

soreKthroat

facialKswelling

tongueKswelling

redKrash

skinKsloughing

bodyKaches

prodromalKheadache

malaise

arthralgia

, painfulKmucusKmembranes

LamotrigineKisKleastKlikelyKtoKcauseK-KCORRECTKANSWER-sedationKorKweightKgain

CarbamazepineK(tegretol)KblackKboxKwarningK-KCORRECTKANSWER-
agranulocytosisK(decreaseKWBCs)

aplasticKanemiaK(pallor,Kfatigue,KHA,Kfever,Knosebleeds,KbleedingKgums,KskinKrash,KSOA)

CarbamazepineKandKasiansK-KCORRECTKANSWER-ScreenKforKHLAB-
1502KalleleKbeforeKinitiating,KdueKtoKhighKincidenceKofKSJSKifKpositiveKforKallele.

Child-bearingKagedKwomenK-KCORRECTKANSWER-
checkKforKpregnancyKbeforeKstartingKmoodKstabilizer

startKonKfolicKacidKtoKsupportKneuralKtubeKdevelopmentKduringKtheKfirstKmonthKthatKaKwomanKisKpr
egnant

Clozaril/clozapineKcanKcauseK-KCORRECTKANSWER-agranulocytosisKandKneutropenia

ForKmonitoringKneutropeniaKinKClozaril,KmonitorK-KCORRECTKANSWER-ANC

DCKclozarliKifKANCK-KCORRECTKANSWER-lessKthanK1000

DCKclozarilKifKWBCK-KCORRECTKANSWER-2000-3000,KriskKofKagranulocytosis

WhenKonKclozarilKmonitorKforK-KCORRECTKANSWER-
signsKandKsymptomsKofKinfection:KsuddenKfever,Kchills,KsoreKthroat,Kweakness

ClozarilKonlyKknownKantipsychoticKtoK-KCORRECTKANSWER-
decreaseKriskKofKsuicideKinKpatientsKwithKschizophrenia.

YourKpatientKwithKbipolarKdisorderKisKadmittedKtoKaKmedicalKhospital.KTheKinternistKcontactsKyourKo
fficeKandKasksKwhetherKtheKlithiumKyouKprescribedKhimKisKeffectingKhisKECG.KHowKdoKyouKrespond?

A.KLithiumKcanKprolongKtheKQTKinterval

B.KLithiumKhasKnoKeffectKonKhisKECG

C.KLithiumKcanKinvertKtheKtKwaves

D.KLithiumKcanKshortenKtheKPRKintervalK-KCORRECTKANSWER-
Answer:KLithiumKcanKinvertKtheKtKwaves.

MaryKisKaK45-year-
oldKAfricanKAmericanKfemaleKwhoKhasKbeenKtreatedKonKIsocarboxazidK(Marplan)KforKoverK6Kyears.K

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