Georgette Review PMHNP QUESTIONS & ANSWERS | 100%
VERIFIED SOLUTIONS |QUESTIONS WITH CORRECT ANSWERS
2025 LATEST UPDATE!!
Terms in this set (388) QUESTIONS VERIFIED ANSWERS
1) When many answers are remarkably wrong
similar, they are usually _____________
2) Interprofessional collaboration is Collaborate is usually right.
encouraged. Delegate is usually wrong.
3) ADPIER Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
4) Lithium Normal 0.6-1.2
5) Lithium toxicity occurs at levels > 1.5
6) Signs of Lithium toxicity severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle
weakness, heart palpitation, coarse
hand tremors, unsteady gait
7) Lithium is gold standard for MANIA
8) Lithium has evidence shown to reduce suicidal ideation
,9) What does lithium cause in neonate, Ebstein anomaly (congenital heart
especially 1st trimester defect)
10) dehydration and hyponatremia cause rise
lithium levels to
11) Baseline labs before initiation of lithium 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)
12) Side Effects of Lithium hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of
toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
13) Pt education for lithimum staying hydrated
avoiding NSAIDS
compliance
,14) Depakote normal level 50-125
15) Depakote toxicity level greater than 150
16) Teratogenic effects of Depakote spina bifida
17) Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or
brown/red urine--order LFTs) AST 5-
40, ALT 5-35, yellowing of skin or
eyes, fatigue
18) Signs of Depakote toxicity disorientation, lethargy, respiratory
depression, nausea/vomiting
19) Intervention for depakote toxicity DC med
check level
LFT
ammonia
20) MAOI + tyramine causes hypertensive crisis
21) Symptoms of hypertensive crisis elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
22) Hypertensive crisis occurs with MAOI + MEPERIDINE
, STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
23) Treatment for hypertensive crisis DC offending agent
Administer PHENTOLAMINE
24) Teratogenic effects of benzos floppy baby, cleft palate
25) Teratogenic effects of tegratol neural tube defect
26) teratogenic effects of lithium ebstein anomaly (heart defect) (avoid,
especially 1st trimester)
27) teratogenic effects of depakote neural tube defects/spina bifida
28) Adverse reaction to Lamictal Steven Johnson's Syndrome
29) Signs of SJS FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
VERIFIED SOLUTIONS |QUESTIONS WITH CORRECT ANSWERS
2025 LATEST UPDATE!!
Terms in this set (388) QUESTIONS VERIFIED ANSWERS
1) When many answers are remarkably wrong
similar, they are usually _____________
2) Interprofessional collaboration is Collaborate is usually right.
encouraged. Delegate is usually wrong.
3) ADPIER Assessment, diagnosis, Plan,
intervention, evaluate, refer out last.
4) Lithium Normal 0.6-1.2
5) Lithium toxicity occurs at levels > 1.5
6) Signs of Lithium toxicity severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle
weakness, heart palpitation, coarse
hand tremors, unsteady gait
7) Lithium is gold standard for MANIA
8) Lithium has evidence shown to reduce suicidal ideation
,9) What does lithium cause in neonate, Ebstein anomaly (congenital heart
especially 1st trimester defect)
10) dehydration and hyponatremia cause rise
lithium levels to
11) Baseline labs before initiation of lithium 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)
12) Side Effects of Lithium hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of
toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis
13) Pt education for lithimum staying hydrated
avoiding NSAIDS
compliance
,14) Depakote normal level 50-125
15) Depakote toxicity level greater than 150
16) Teratogenic effects of Depakote spina bifida
17) Adverse effects of depakote alopecia
hepatotoxicity (RUQ pain or
brown/red urine--order LFTs) AST 5-
40, ALT 5-35, yellowing of skin or
eyes, fatigue
18) Signs of Depakote toxicity disorientation, lethargy, respiratory
depression, nausea/vomiting
19) Intervention for depakote toxicity DC med
check level
LFT
ammonia
20) MAOI + tyramine causes hypertensive crisis
21) Symptoms of hypertensive crisis elevated BP
sudden explosive like headache
facial flushing
palpitations
pupillary dilation
diaphoresis
fever
22) Hypertensive crisis occurs with MAOI + MEPERIDINE
, STIMULANTS
decongestants
TCAs
atypicals
St. John's wart
L-tryptophan
asthma meds
23) Treatment for hypertensive crisis DC offending agent
Administer PHENTOLAMINE
24) Teratogenic effects of benzos floppy baby, cleft palate
25) Teratogenic effects of tegratol neural tube defect
26) teratogenic effects of lithium ebstein anomaly (heart defect) (avoid,
especially 1st trimester)
27) teratogenic effects of depakote neural tube defects/spina bifida
28) Adverse reaction to Lamictal Steven Johnson's Syndrome
29) Signs of SJS FEVER --high yield
sore throat
facial swelling
tongue swelling
red rash
skin sloughing
body aches
prodromal headache
