NURS 615 Exam 2 UPDATED ACTUAL Exam Questions and CORRECT Answers

NURS 615 Exam 2
UPDATED ACTUAL Exam Questions and CORRECT Answers

Question 1.
How often should carbamazepine lab values be monitored? What labs?

Correct Answer: CBC q 3-4 months


Question 2.
What anti-seizure med auto induces metabolism?

Correct Answer: Carbamazepine


Question 3.
What medication decreases the production of RBCs, WBCs, and platelets?

Correct Answer: Carbamazepine


Question 4.
What is carbamazepine half-life?

Correct Answer: Single dose: 30 hours
Multiple dose: 15 hours


Question 5.
What is a great risk of seizure potential while taking anti-seizure medications?

Correct Answer: Stopping the medication abruptly.


Question 6.
What type of medication is topiramate (Topamax)?

Correct Answer: Anti-seizure med


Question 7.
What does topiramate cause?

Correct Answer: Electrolyte imbalance -- hyperchloremic metabolic acidosis


Question 8.
What are adverse effects of topiramate?

Correct Answer: Weight loss, high temperature, and inability to sweat
• What medication affects Lamictal? -✓✓OCPs decrease the effects of this
drug, so the dose must be doubled

,Question 9.
Can valproate (Depakote) be used during pregnancy?

Correct Answer: It is a known teratogen. If needed, must be used after 1st
trimester.


Question 10.
What must be ruled out in patients before starting an anti-depressant?

Correct Answer: hypothyroidism


Question 11.
Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics?

Correct Answer: TCAs


Question 12.
TCA side effects are mainly of what type?

Correct Answer: Anti-cholinergic


Question 13.
What is a first-line antidepressant in children?

Correct Answer: fluoxetine (Prozac)


Question 14.
How do you discontinue an SSRI?

Correct Answer: Taper by reducing the dose by 50% for 3- 4 days


Question 15.
When are MAOIs effective?

Correct Answer: In atypical depression or Parkinson's


Question 16.
Why are MAOIs reserved for last line of treatment?

Correct Answer: Lethal drug interactions and food interactions

, Question 17.
How long before starting a new antidepressant after MAOIs?

Correct Answer: At least 2 weeks to clear it from system
• What are high tyramine foods and when are they contraindicated?
-✓✓Fermented foods; aged cheese, wine alcohol
Contraindicated with MAOI use


Question 18.
Important drug interaction and side effect with MAOIs?

Correct Answer: Avoid other serotonin drugs and watch for hypertensive crisis


Question 19.
What anti-depressant may have sleep issues if taken at night?

Correct Answer: fluoxetine (Prozac) (SSRI)


Question 20.
How do SSRIs work?

Correct Answer: They block the reuptake of serotonin at the synaptic cleft so
there is more serotonin around


Question 21.
How are sexual side effects linked to SSRIs?

Correct Answer: Sexual side effects may start after 1 month; especially
common in Paxil


Question 22.
How long does it take for SSRIs to work?

Correct Answer: 2-6 weeks; usually within 4 weeks; some symptoms may
improve within 1 to 2 weeks


Question 23.
What medication is a seroternergic 5-ht receptor partial agonist (partial alpha 1 receptor
agonist)?

Correct Answer: buspirone (Buspar)


Question 24.
What is special about buspirone (Buspar)?