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