NURS 615 2027 Exam 2 Questions and Answers
Question 1.
What are the black box warnings for Carbamazepine?
Correct Answer: Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Question 2.
What lab test should be ordered for patients on Carbamazepine?
Correct Answer: CBC every 3-4 months because it can cause decreased WBC,
decreased platelets, and trouble with RBC
Question 3.
What kind of teaching needs to be done with families of patients who have seizure
disorders?
Correct Answer: Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Question 4.
Ethosuximide (Zarontin), an anti-seizure medication can cause what?
Correct Answer: Blood dyscrasias
Question 5.
Patients taking Topiramate need to be monitored for what electrolyte imbalance?
Correct Answer: Decreased sodium bicarb leading to hyperchloremic
metabolic acidosis
Question 6.
Topiramate treats seizures and what is one common side effect?
Correct Answer: Normal side effect is weight loss, especially in higher dose
patients
Question 7.
A child on Topiramate that wants to play sports should monitor what?
Correct 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)?
, -✓✓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.
Question 8.
What patient population should tricyclic antidepressants be used cautiously in?
Correct Answer: Heart Disease patients
Question 9.
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication?
Correct Answer: He should not use serotonergic drugs like Imitrex. Also, this
class of medication interacts with yogurt, sour cream, soy sauce, etc.
Question 10.
Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated
foods?
Correct Answer: Hypertensive crisis
Question 11.
What are the side effects of tricyclic antidepressants?
Correct Answer: Anticholinergic type effects like dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
Question 12.
How long does it take for SSRIs to take effect
Correct Answer: 2-6 weeks
Question 13.
SSRIs may cause what onset of action symptoms?
Correct Answer: Nausea, but this will usually resolve in a week.
Question 14.
What is one thing you should not do with SSRIs?
Correct Answer: Drink alcohol
Question 15.
What should happen when going off an SSRI?
Question 1.
What are the black box warnings for Carbamazepine?
Correct Answer: Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Question 2.
What lab test should be ordered for patients on Carbamazepine?
Correct Answer: CBC every 3-4 months because it can cause decreased WBC,
decreased platelets, and trouble with RBC
Question 3.
What kind of teaching needs to be done with families of patients who have seizure
disorders?
Correct Answer: Prevention is important, patient safety is important, Do NOT
abruptly stop taking medication.
Question 4.
Ethosuximide (Zarontin), an anti-seizure medication can cause what?
Correct Answer: Blood dyscrasias
Question 5.
Patients taking Topiramate need to be monitored for what electrolyte imbalance?
Correct Answer: Decreased sodium bicarb leading to hyperchloremic
metabolic acidosis
Question 6.
Topiramate treats seizures and what is one common side effect?
Correct Answer: Normal side effect is weight loss, especially in higher dose
patients
Question 7.
A child on Topiramate that wants to play sports should monitor what?
Correct 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)?
, -✓✓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.
Question 8.
What patient population should tricyclic antidepressants be used cautiously in?
Correct Answer: Heart Disease patients
Question 9.
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication?
Correct Answer: He should not use serotonergic drugs like Imitrex. Also, this
class of medication interacts with yogurt, sour cream, soy sauce, etc.
Question 10.
Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated
foods?
Correct Answer: Hypertensive crisis
Question 11.
What are the side effects of tricyclic antidepressants?
Correct Answer: Anticholinergic type effects like dry mouth, sedation,
constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
Question 12.
How long does it take for SSRIs to take effect
Correct Answer: 2-6 weeks
Question 13.
SSRIs may cause what onset of action symptoms?
Correct Answer: Nausea, but this will usually resolve in a week.
Question 14.
What is one thing you should not do with SSRIs?
Correct Answer: Drink alcohol
Question 15.
What should happen when going off an SSRI?
