MARYVILLE NURS 615 EXAM 2026
COMPREHENSIVE ASSESSMENT
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◉ 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
◉ 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
COMPREHENSIVE ASSESSMENT
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◉ 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
◉ 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
