MARYVILLE NURS 615 PHARM EXAM
2 WITH 100% CORRECT ANSWERS
2026
Carbamazepine (Tegretol) can sometimes show subtherapeutic
range due to what? correct answers >> Carbamazepine auto-
induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? correct
answers >> Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine?
correct answers >> CBC every 3-4 months because it can cause
decreased WBC, decreased platelets, and trouble with RBC
What kind of teaching needs to be done with families of patients
who have seizure disorders? correct answers >> Prevention
is important, patient safety is important, Do NOT abruptly stop
taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause
what? correct answers >> Blood dyscrasias
, Patients taking Topiramate need to be monitored for what
electrolyte imbalance? correct answers >> Decreased
sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect?
correct answers >> Normal side effect is weight loss, especially
in higher dose patients
A child on Topiramate that wants to play sports should monitor
what? correct answers >> 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)? correct answers >> 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? correct answers >> Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done
with this medication? correct answers >> He should not use
serotonergic drugs like Imitrex. Also, this class of medication
interacts with yogurt, sour cream, soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with
known contraindicated foods? correct answers >>
Hypertensive crisis
2 WITH 100% CORRECT ANSWERS
2026
Carbamazepine (Tegretol) can sometimes show subtherapeutic
range due to what? correct answers >> Carbamazepine auto-
induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? correct
answers >> Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine?
correct answers >> CBC every 3-4 months because it can cause
decreased WBC, decreased platelets, and trouble with RBC
What kind of teaching needs to be done with families of patients
who have seizure disorders? correct answers >> Prevention
is important, patient safety is important, Do NOT abruptly stop
taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause
what? correct answers >> Blood dyscrasias
, Patients taking Topiramate need to be monitored for what
electrolyte imbalance? correct answers >> Decreased
sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect?
correct answers >> Normal side effect is weight loss, especially
in higher dose patients
A child on Topiramate that wants to play sports should monitor
what? correct answers >> 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)? correct answers >> 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? correct answers >> Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done
with this medication? correct answers >> He should not use
serotonergic drugs like Imitrex. Also, this class of medication
interacts with yogurt, sour cream, soy sauce, etc.
Phenelzine (Nardil) may cause what if there is an interaction with
known contraindicated foods? correct answers >>
Hypertensive crisis
