Georgette Review PMHNP. QUESTIONS & ANSWERS 100% VERIFIED
1
When many answers are remarkably similar, they are usually _____________ -
ANSWER wrong
Interprofessional collaboration is encouraged. - ANSWER Collaborate is usually
right.
Delegate is usually wrong.
ADPIER - ANSWER Assessment, diagnosis, Plan, intervention, evaluate, refer out
last.
Lithium - ANSWER Normal 0.6-1.2
Lithium toxicity occurs at levels - ANSWER > 1.5
Signs of Lithium toxicity - ANSWER severe nausea, diarrhea, vomiting, confusion,
drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady
gait
Lithium is gold standard for - ANSWER MANIA
Lithium has evidence shown to - ANSWER reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester - ANSWER Ebstein
anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ANSWER rise
Baseline labs before initiation of lithium - ANSWER 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)
Side Effects of Lithium - ANSWER hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
leukocytosis