MARYVILLE NURS 615 PHARM EXAM 2 WITH COMPLETE ,2025 LATEST UPDATES,A+ GRADED.

Maryville Nurs 615 Pharm Exam 2 Complete Questions & Answers (100%
n n n n n n n n n n




Verified Solutions) 2025/2026 Update n n n n




Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - CORRECT ANSWER
n n n n n n n n n n n n




-Carbamazepine auto-induces metabolism, leading to lower levels despite good
n n n n n n n n n




compliance



What are the black box warnings for Carbamazepine? - CORRECT ANSWER -Dermatologic reactions
n n n n n n n n n n n n




1. Steven'sJohnson n




2. Toxic epidermal necrolysis
n n




What lab test should be ordered for patients on Carbamazepine? - CORRECT ANSWER -CBC every
n n n n n n n n n n n n n n




3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC
n n n n n n n n n n n n n n




What kind of teaching needs to be done with families of patients who have seizure disorders? - CORRECT
n n n n n n n n n n n n n n n n n




ANSWER -Prevention is important, patient safety is important, Do NOT abruptly stop taking
n n n n n n n n n n n n n




medication.
n




Ethosuximide (Zarontin),an anti-seizure medication can cause what? - CORRECT ANSWER - Blood
n n n n n n n n n n n n




dyscrasias
n




Patients taking Topiramate need to be monitored for what electrolyte imbalance? - CORRECT
n n n n n n n n n n n n




ANSWER -Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
n n n n n n n n n




Topiramate treats seizures and what is one common side effect? - CORRECT ANSWER -Normal side
n n n n n n n n n n n n n n




effect is weight loss, especially in higher dose patients
n n n n n n n n n

, A child on Topiramate that wants to play sports should monitor what? - CORRECT ANSWER - Don't get
n n n n n n n n n n n n n n n n n




overheated. Topiramate may affect his ability to sweat in the heat.
n n n n n n n n n n n




What should a pregnant patient be told about taking Valproate (Depakote)? - CORRECT ANSWER
n n n n n n n n n n n n n




-It is a known teratogen and category X medication. It should not be used in the first trimester, it may
n n n n n n n n n n n n n n n n n n n




be restarted in second trimester.
n n n n n




What patient population should tricyclic antidepressants be used cautiously in? - CORRECT ANSWER
n n n n n n n n n n n n




-Heart Disease patients
n n n




Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
n n n n n n n n n n n n n n




CORRECT ANSWER -He should not use serotonergic drugs like Imitrex. Also, this class of
n n n n n n n n n n n n n n




medication interacts with yogurt, sour cream, soy sauce, etc.
n n n n n n n n n




Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods?
n n n n n n n n n n n n n




- CORRECT ANSWER -Hypertensive crisis
n n n n




What are the side effects of tricyclic antidepressants? - CORRECT ANSWER -Anticholinergic type
n n n n n n n n n n n n




effects like dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus,
n n n n n n n n n n n




euphoria, mania
n n




How long does it take for SSRIs to take effect - CORRECT ANSWER -2-6 weeks
n n n n n n n n n n n n n n




SSRIs may cause what onset of action symptoms? - CORRECT ANSWER -Nausea, but this will usually
n n n n n n n n n n n n n n n




resolve in a week.
n n n n




What is one thing you should not do with SSRIs? - CORRECT ANSWER -Drink alcohol
n n n n n n n n n n n n n n