Maryville NURS 615 Pharm Exam 2
with complete solutions 2024-2025
Grade A+ Assured
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
ANSWER✔✔-Carbamazepine auto-induces metabolism, leading to lower levels despite
good compliance
What are the black box warnings for Carbamazepine? - ANSWER✔✔-Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - ANSWER✔✔-CBC
every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble
with RBC
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, What kind of teaching needs to be done with families of patients who have seizure
disorders? - ANSWER✔✔-Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ANSWER✔✔-
Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
ANSWER✔✔-Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ANSWER✔✔-Normal
side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - ANSWER✔✔-
Don't get overheated. Topiramate may affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate (Depakote)? -
ANSWER✔✔-It is a known teratogen and category X medication. It should not be used
in the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
ANSWER✔✔-Heart Disease patients
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
with complete solutions 2024-2025
Grade A+ Assured
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? -
ANSWER✔✔-Carbamazepine auto-induces metabolism, leading to lower levels despite
good compliance
What are the black box warnings for Carbamazepine? - ANSWER✔✔-Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - ANSWER✔✔-CBC
every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble
with RBC
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
, What kind of teaching needs to be done with families of patients who have seizure
disorders? - ANSWER✔✔-Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ANSWER✔✔-
Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
ANSWER✔✔-Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ANSWER✔✔-Normal
side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - ANSWER✔✔-
Don't get overheated. Topiramate may affect his ability to sweat in the heat.
What should a pregnant patient be told about taking Valproate (Depakote)? -
ANSWER✔✔-It is a known teratogen and category X medication. It should not be used
in the first trimester, it may be restarted in second trimester.
What patient population should tricyclic antidepressants be used cautiously in? -
ANSWER✔✔-Heart Disease patients
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
