PMHNP ANCC Exam Questions and Answers 100% Verified
Save
Terms in this set (218)
Nursing Process Assess before intervention. Assessment is collecting data
Lithium level 0.6-1.2
lithum toxicity Level of 1.5 or higher
What drug has been proven to have Lithium
evidence of anti-suicidal effects
What drug is gold standard for Lithium
manic episodes
What drug is neuroprotective Lithium
treatment of choice for bipolar
Endocrine S/S of lithium toxicity Endocrine = course hand tremors, and hypothyroidism
Dermatological S/S of lithium Maculopapular rash
toxicity
Gastro S/S of lithium toxicity Diarrhea, vomiting, cramps, anorexia
Hematologic S/S of lithium toxicity Leukocytosis (increased WBC)
What intervention should the D/C and check serum lithium levels
PMHNP take if she suspects lithium
toxicity
Meperidine
What drugs can cause a
Stimulant's
hypertensive crisis
and other sympathomimetics
Treatment for a hypertensive crisis Administer phentolamine
Teratogenic risk of psych meds Epstein anomaly from lithium
(HIGH) Spina bifida from Depakote
Backbox warming for mood Steven Johnson syndrome
stabilizer
S/S of Steven Johnson syndrome FEVER
which can be a S/E of mood
stabilizers
Valproic acid can cause? Hepatoxicity and pancreatitis
, Carbamazepine (Tegretol) can Asian population
cause Stevens Johnson syndrome in
what ethnicity (HIGH)
What should you screen in the Asian HLAB-1502 allele
population before starting
Carbamazepine (Tegretol) (HIGH)
What should you check in females HCG pregnancy
before starting Carbamazepine
(Tegretol)
What supplement should be started Folic acid 0.4-0.8 for neural tube development
in any female of child bearing age
WBC and ANC
For Clozaril and Carbamazepine
D/C if ANC is <1000
monitor what labs?
D/C id WBC is 2000-3000
Signs of agranulocytosis fever, chills, sore throat, weakness
Normal BMI range 18.5-24.9
With bulimia nervosa what can you Normal BMI and erosion of dental
see?
Low BMI
Amenorrhea
What are the s/s of anorexia
Emaciation
nervosa? (HIGH)
Bradycardia
Hypotension
What SNRI can help with both pain Duloxetine
and depression (HIGH)
Clozaril is an an atypical Cytochrome P450 enzyme and CYP1A2
antipsychotic that is metabolized by
the? (HIGH)
If a patient starts smoking on Increase dose
carbamazepine what should the Because this drug mixed with tobacco is an enzyme inducer which
PMHNP do with the dose? (HIGH) decreases serum level. If they stop smoking decrease the dose.
Nsaids, thiazides, ace inhibitors and Increase lithium levels by reducing renal clearance
kidney disease may reduce renal
clearance which in return can?
Everything decreases in older adults Body fat concentration increases
except?
substantia nigra which is the part of the brain involved in regulating
dopamine is produced the?
motor movements
Save
Terms in this set (218)
Nursing Process Assess before intervention. Assessment is collecting data
Lithium level 0.6-1.2
lithum toxicity Level of 1.5 or higher
What drug has been proven to have Lithium
evidence of anti-suicidal effects
What drug is gold standard for Lithium
manic episodes
What drug is neuroprotective Lithium
treatment of choice for bipolar
Endocrine S/S of lithium toxicity Endocrine = course hand tremors, and hypothyroidism
Dermatological S/S of lithium Maculopapular rash
toxicity
Gastro S/S of lithium toxicity Diarrhea, vomiting, cramps, anorexia
Hematologic S/S of lithium toxicity Leukocytosis (increased WBC)
What intervention should the D/C and check serum lithium levels
PMHNP take if she suspects lithium
toxicity
Meperidine
What drugs can cause a
Stimulant's
hypertensive crisis
and other sympathomimetics
Treatment for a hypertensive crisis Administer phentolamine
Teratogenic risk of psych meds Epstein anomaly from lithium
(HIGH) Spina bifida from Depakote
Backbox warming for mood Steven Johnson syndrome
stabilizer
S/S of Steven Johnson syndrome FEVER
which can be a S/E of mood
stabilizers
Valproic acid can cause? Hepatoxicity and pancreatitis
, Carbamazepine (Tegretol) can Asian population
cause Stevens Johnson syndrome in
what ethnicity (HIGH)
What should you screen in the Asian HLAB-1502 allele
population before starting
Carbamazepine (Tegretol) (HIGH)
What should you check in females HCG pregnancy
before starting Carbamazepine
(Tegretol)
What supplement should be started Folic acid 0.4-0.8 for neural tube development
in any female of child bearing age
WBC and ANC
For Clozaril and Carbamazepine
D/C if ANC is <1000
monitor what labs?
D/C id WBC is 2000-3000
Signs of agranulocytosis fever, chills, sore throat, weakness
Normal BMI range 18.5-24.9
With bulimia nervosa what can you Normal BMI and erosion of dental
see?
Low BMI
Amenorrhea
What are the s/s of anorexia
Emaciation
nervosa? (HIGH)
Bradycardia
Hypotension
What SNRI can help with both pain Duloxetine
and depression (HIGH)
Clozaril is an an atypical Cytochrome P450 enzyme and CYP1A2
antipsychotic that is metabolized by
the? (HIGH)
If a patient starts smoking on Increase dose
carbamazepine what should the Because this drug mixed with tobacco is an enzyme inducer which
PMHNP do with the dose? (HIGH) decreases serum level. If they stop smoking decrease the dose.
Nsaids, thiazides, ace inhibitors and Increase lithium levels by reducing renal clearance
kidney disease may reduce renal
clearance which in return can?
Everything decreases in older adults Body fat concentration increases
except?
substantia nigra which is the part of the brain involved in regulating
dopamine is produced the?
motor movements
