Georgette Review PMHNP exam|COMPLETE STUDY GUIDE WITH HIGH YIELD QUESTIONS AND 100% AUTHENTIC/RIGHT ANSWERS|ALREADY GRADED A|LATEST VERSION 2025

When many answers are remarkably similar, they are usually _____________ - CORRECT ANSWERS️️wrong Interprofessional collaboration is encouraged. - CORRECT ANSWERS️️Collaborate is usually right. Delegate is usually wrong. ADPIER - CORRECT ANSWERS️️Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium - CORRECT ANSWERS️️Normal 0.6-1.2 Lithium toxicity occurs at levels - CORRECT ANSWERS️️> 1.5 Signs of Lithium toxicity - CORRECT ANSWERS️️severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - CORRECT ANSWERS️️MANIA Lithium has evidence shown to - CORRECT ANSWERS️️reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester - CORRECT ANSWERS️️Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to - CORRECT ANSWERS️️rise Baseline labs before initiation of lithium - CORRECT ANSWERS️️TSH 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 ANSWERS️️hypothyroidism 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 ANSWERS️️staying hydrated avoiding NSAIDS compliance Depakote normal level - CORRECT ANSWERS️️50-125 Depakote toxicity level - CORRECT ANSWERS️️greater than 150 Teratogenic effects of Depakote - CORRECT ANSWERS️️spina bifida Adverse effects of depakote - CORRECT ANSWERS️️alopecia hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue Signs of Depakote toxicity - CORRECT ANSWERS️️disorientation, lethargy, respiratory depression, nausea/vomiting Intervention for depakote toxicity - CORRECT ANSWERS️️DC med check level LFT ammonia MAOI + tyramine causes - CORRECT ANSWERS️️hypertensive crisis Symptoms of hypertensive crisis - CORRECT ANSWERS️️elevated BP sudden explosive like headache facial flushing palpitations pupillary dilation diaphoresis fever Hypertensive crisis occurs with MAOI + - CORRECT ANSWERS️️MEPERIDINE STIMULANTS decongestants TCAs atypicals St. John's wart L-tryptophan asthma meds Treatment for hypertensive crisis - CORRECT ANSWERS️️DC offending agent Administer PHENTOLAMINE Teratogenic effects of benzos - CORRECT ANSWERS️️floppy baby, cleft palate Teratogenic effects of tegratol - CORRECT ANSWERS️️neural tube defect teratogenic effects of lithium - CORRECT ANSWERS️️ebstein anomaly (heart defect) (avoid, especially 1st trimester) teratogenic effects of depakote - CORRECT ANSWERS️️neural tube defects/spina bifida Adverse reaction to Lamictal - CORRECT ANSWERS️️Steven Johnson's Syndrome Signs of SJS - CORRECT ANSWERS️️FEVER --high yield sore throat facial swelling tongue swelling red rash skin sloughing body aches prodromal headache malaise arthralgia painful mucus membranes Lamotrigine is least likely to cause - CORRECT ANSWERS️️sedation or weight gain Carbamazepine (tegretol) black box warning - CORRECT ANSWERS️️agranulocytosis (decrease WBCs) aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOA)