Maryville Nurs 615 Pharm Exam 2 With Complete ,2025 Latest Updates,A+ Graded.

Maryville Nurs 615 Pharm Exam 2 Complete Questions & Answers (100%
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Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - CORRECT ANSWER
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-Carbamazepine auto-induces metabolism, leading to lower levels despite good
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compliance



What are the black box warnings for Carbamazepine? - CORRECT ANSWER -Dermatologic reactions
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1. Steven'sJohnson n




2. Toxic epidermal necrolysis
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What lab test should be ordered for patients on Carbamazepine? - CORRECT ANSWER -CBC every
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3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC
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What kind of teaching needs to be done with families of patients who have seizure disorders? - CORRECT
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ANSWER -Prevention is important, patient safety is important, Do NOT abruptly stop taking
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medication.
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Ethosuximide (Zarontin),an anti-seizure medication can cause what? - CORRECT ANSWER - Blood
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dyscrasias
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Patients taking Topiramate need to be monitored for what electrolyte imbalance? - CORRECT
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ANSWER -Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
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Topiramate treats seizures and what is one common side effect? - CORRECT ANSWER -Normal side
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effect is weight loss, especially in higher dose patients
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, A child on Topiramate that wants to play sports should monitor what? - CORRECT ANSWER - Don't get
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overheated. Topiramate may affect his ability to sweat in the heat.
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What should a pregnant patient be told about taking Valproate (Depakote)? - CORRECT ANSWER
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-It is a known teratogen and category X medication. It should not be used in the first trimester, it may
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be restarted in second trimester.
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What patient population should tricyclic antidepressants be used cautiously in? - CORRECT ANSWER
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-Heart Disease patients
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Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? -
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CORRECT ANSWER -He should not use serotonergic drugs like Imitrex. Also, this class of
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medication interacts with yogurt, sour cream, soy sauce, etc.
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Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods?
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- CORRECT ANSWER -Hypertensive crisis
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What are the side effects of tricyclic antidepressants? - CORRECT ANSWER -Anticholinergic type
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effects like dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus,
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euphoria, mania
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How long does it take for SSRIs to take effect - CORRECT ANSWER -2-6 weeks
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SSRIs may cause what onset of action symptoms? - CORRECT ANSWER -Nausea, but this will usually
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resolve in a week.
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What is one thing you should not do with SSRIs? - CORRECT ANSWER -Drink alcohol
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