INTERMEDIATE MED SURG FINAL
EXAM REVIEW QUESTIONS &
ACCURATE COMPLETE SOLUTIONS
CKD chronic kidney disease - Correct Answer ✔✔ a medical condition in which a
person loses kidney function over time
What assessment for CKD ? - Correct Answer ✔✔ -slow disorder
-untreated acute kidney injury
-all organs are affected
-cardio
-respiratory
-integumentary: dry skin, grey skin, itching
-reproductive
-urinary
Diet for CKD - Correct Answer ✔✔ restriction in fluids, Na, K, P
No dairy, moderate protein, high carbs
High potassium foods - Correct Answer ✔✔ bananas, orange juice, cantaloupe,
strawberries, avocados, spinach, fish and salt substitutes
-tomatoes
-raisins
AKI (acute kidney injury) - Correct Answer ✔✔ rapid loss of kidney function that occurs
over a few hours or days
Ciprofloxacin (Cipro) - Correct Answer ✔✔ fluoroquinolone antibiotic; UTI and PUD;
photosensitivity and chelation; rarely tendon rupture
-
what does peritoneal dialysis do ? - Correct Answer ✔✔ -works as a principle of
osmosis and ultrafiltration
-transfer of fluid and solute from blood through the peritoneum to the machine.
-2 liter bag
-what is put in needs to come out
-surgically inserted
-solution is sterile
-outflow is draining by gravity
Glaucoma patient who receive mydriatic cyclpegic meds are they okay? - Correct
Answer ✔✔ causes IOP.
, -dilates the pupils which increased pressure
What is the treatment of glaucoma ? - Correct Answer ✔✔ Surgery to remove some
ligaments, which are connected to canal of Schlemm
By cutting and removing some of them, then the canal can be opened and fluid can
easily get into venous system
-eye drops for life
-in conjunctiva sac
what do myotics do ? - Correct Answer ✔✔ -they constrict
-important for patient with glaucoma
-reduce production of aqueous humor
-reduce IOP
-life long medication
-report eye pain
-report halos
-report changes in vision
trabeculectomy - Correct Answer ✔✔ surgical creation of a drain to reduce intraocular
pressure
-treatment for glaucoma
-into the conjunctiva spaces
plan of care after cataract surgery ? - Correct Answer ✔✔ -avoid eye strain
-avoid rubbing or pushing
-no stooping, bending, straining
-keep eye patch on
-make sure patient reorientated to surroundings
-make sure everything is on the side they can see
Hearing loss: effective communication - Correct Answer ✔✔ -make sure environment is
not too loud
-face patient when communicating
sensory hearing loss - Correct Answer ✔✔ Damage of the organ for hearing
acoustic neuroma - Correct Answer ✔✔ benign tumor on the auditory nerve (8th cranial
nerve) that causes vertigo, tinnitus, and hearing loss
TREATMENT:
-surgical removal of tumor
-assess facial and trigeminal nerve
EXAM REVIEW QUESTIONS &
ACCURATE COMPLETE SOLUTIONS
CKD chronic kidney disease - Correct Answer ✔✔ a medical condition in which a
person loses kidney function over time
What assessment for CKD ? - Correct Answer ✔✔ -slow disorder
-untreated acute kidney injury
-all organs are affected
-cardio
-respiratory
-integumentary: dry skin, grey skin, itching
-reproductive
-urinary
Diet for CKD - Correct Answer ✔✔ restriction in fluids, Na, K, P
No dairy, moderate protein, high carbs
High potassium foods - Correct Answer ✔✔ bananas, orange juice, cantaloupe,
strawberries, avocados, spinach, fish and salt substitutes
-tomatoes
-raisins
AKI (acute kidney injury) - Correct Answer ✔✔ rapid loss of kidney function that occurs
over a few hours or days
Ciprofloxacin (Cipro) - Correct Answer ✔✔ fluoroquinolone antibiotic; UTI and PUD;
photosensitivity and chelation; rarely tendon rupture
-
what does peritoneal dialysis do ? - Correct Answer ✔✔ -works as a principle of
osmosis and ultrafiltration
-transfer of fluid and solute from blood through the peritoneum to the machine.
-2 liter bag
-what is put in needs to come out
-surgically inserted
-solution is sterile
-outflow is draining by gravity
Glaucoma patient who receive mydriatic cyclpegic meds are they okay? - Correct
Answer ✔✔ causes IOP.
, -dilates the pupils which increased pressure
What is the treatment of glaucoma ? - Correct Answer ✔✔ Surgery to remove some
ligaments, which are connected to canal of Schlemm
By cutting and removing some of them, then the canal can be opened and fluid can
easily get into venous system
-eye drops for life
-in conjunctiva sac
what do myotics do ? - Correct Answer ✔✔ -they constrict
-important for patient with glaucoma
-reduce production of aqueous humor
-reduce IOP
-life long medication
-report eye pain
-report halos
-report changes in vision
trabeculectomy - Correct Answer ✔✔ surgical creation of a drain to reduce intraocular
pressure
-treatment for glaucoma
-into the conjunctiva spaces
plan of care after cataract surgery ? - Correct Answer ✔✔ -avoid eye strain
-avoid rubbing or pushing
-no stooping, bending, straining
-keep eye patch on
-make sure patient reorientated to surroundings
-make sure everything is on the side they can see
Hearing loss: effective communication - Correct Answer ✔✔ -make sure environment is
not too loud
-face patient when communicating
sensory hearing loss - Correct Answer ✔✔ Damage of the organ for hearing
acoustic neuroma - Correct Answer ✔✔ benign tumor on the auditory nerve (8th cranial
nerve) that causes vertigo, tinnitus, and hearing loss
TREATMENT:
-surgical removal of tumor
-assess facial and trigeminal nerve
