AANPCB PMHNP-C Practice Questions - AANPCB Psychiatric Mental Health Nurse Practitioner (PMHNP-C) Exam

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A patient on lithium for 4 years presents with new-onset coarse tremor, ataxia, and confusion. Lithium level is 1.8 mEq/L. What is the FIRST action?

Increase lithium dose to overcome tolerance Hold lithium, ensure hydration, and obtain renal function and electrolytes Add valproate as adjunct mood stabilizer Order brain MRI to rule out structural cause

Correct Answer:

Hold lithium, ensure hydration, and obtain renal function and electrolytes

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