MED SURG 201 Section 3 Final Exam Practice Questions 2022//2023.

11. When teaching a patient about timolol( Timoptic), eye drops for glaucoma, which of the statements is correct? a) If blood pressure increases, then hold the medication b) Close your eyes for 15 minutes after using the eye drops c) You may have temporary blurred vision after using the eye drops d) You might feel palpitations after using the eye drops 12. Which of the following is contraindicated for the use of timolol (Timpotic)? a) Chronic obstructive pulmonary disease b) Urinary tract infection c) Edema d) Headaches #13. A 65-year-old male patient has a glomerular filtration rate of 55 mL/min. The patient has a history of uncontrolled hypertension and coronary artery disease. You're assessing the new medication orders received for this patient. Which medication ordered by the physician will help treat the patient's hypertension along with providing a protective mechanism to the kidneys? a. Lisinopril b. Metoprolol c. Amlodipine d. Verapamil #14. Your patient with chronic kidney disease is scheduled for dialysis in the morning. While examining the patient's telemetry strip, you note tall peaked T-waves. You notify the physician who orders a STAT basic metabolic panel (BMP). What result from the BMP confirms the EKG abnormality? a. Phosphate 3.2 mg/dL b. Calcium 9.3 mg/dL c. Magnesium 2.2 mg/dL d. Potassium 7.1 mEq/L #15. What is the leading cause of chronic kidney disease? a. Diabetes Mellitus b. Hypertension c. Glomerulonephritis d. Cystic Diseases #16. A male patient’s GFR was calculated to be 47mL/min/1.73m3. At which stage of chronic kidney disease is this patient? a. Stage 1 b. Stage 2 c. Stage 3 d. Stage 4 e. Stage 5 #17. A patient has a potassium level of 9.0 mEq/L. Which nursing intervention is priority? a. Prepare the patient for dialysis and place the patient on a cardiac monitor. b. Administer spironolactone c. Place the patient on a potassium restrictive diet d. Administer a laxative #18. Which patient below is NOT at risk for developing chronic kidney disease? a. A 58-year-old female with uncontrolled hypertension b. A 45-year-old female with polycystic ovarian disease c. A 69-year-old male with diabetes mellitus d. A 78-year-old female with an intrarenal injury #19. CKD mineral and bone disorder occurs because the kidneys no longer do what? a. Filter the blood fast enough b. Convert vitamin D to its active form c. Regulate calcium levels d. Excrete waste products from the body 20. What is the antidote for digoxin? a. Digibind b. Vitamin K c. Atropine d. Digitoxin 21. What is the serum level for digoxin? a. 0.5-2ng/mL b. 0.2-5ng/mL c. 3.5-5ng/mL d. 0.5-2.5ng/mL 22. A doctor has ordered cardiac enzymes on a patient being admitted with chest pain. You know that levels elevate 2-4 hours after injury to the heart and is the most regarded marker by providers. a. Myoglobin b. CK-MB c. CK d. Troponin