BSN 7000 final Exam Questions With
Correct Answers
what are the important symptoms of case study 1 (Alf)? - CORRECT ANSWER✔✔-
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CHF, venous ulcer on fire and throbbing, cap refill 4+, 3+ pitting edema
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what are the diagnoses of case study 1 (Alf)? - CORRECT ANSWER✔✔-CHF
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exacerbation and CVI | |
chronic venous insufficiency - CORRECT ANSWER✔✔-veins cannot move blood
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back to the heart, causing blood to pool into the legs, increasing pressure in the
| | | | | | | | | | | | | | |
veins and causes swelling and ulcers
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what does CVI increase risk of? - CORRECT ANSWER✔✔-DVT
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signs and symptoms of CVI - CORRECT ANSWER✔✔-edema, dull pain, heaviness,
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varicose veins, yellow ankles, itchy/flaky skin, venous ulcers, leathery skin
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treatment of CVI - CORRECT ANSWER✔✔-elevate legs, compression stockings,
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avoid prolonged sitting, maintain good skin patency
| | | | | |
education for CVI - CORRECT ANSWER✔✔-careful with temperatures, foot
| | | | | | | | |
trauma, avoid crossing legs, no dangling legs, no caffeine, hydrate
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,congestive heart failure - CORRECT ANSWER✔✔-inability of the heart to provide
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the body with an adequate amount of blood, either a pumping or filling issue
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left sided heart failure - CORRECT ANSWER✔✔-lungs = dyspnea, SOB, tachypnea,
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cough, crackles, cyanosis, decreased O2, confusion, weight gain, increased HR
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right sided heart failure - CORRECT ANSWER✔✔-rest of body = ascites, enlarged
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liver and spleen, JVD, edema
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priority problems for case study 1 - CORRECT ANSWER✔✔-1. improve venous
| | | | | | | | | | |
circulation and decrease edema | | |
2. treat wound
| |
3. manage pain
| |
how do we improve venous circulation and decrease edema? - CORRECT
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ANSWER✔✔-elevate legs, increase dose of Lasix, daily weights, I/O, cap refill | | | | | | | | | |
how do we treat the venous ulcer wound? - CORRECT ANSWER✔✔-keep clean,
| | | | | | | | | | | |
prevent infection, collab with wound specialist
| | | | |
what's the concern with Lasix and Digoxin? - CORRECT ANSWER✔✔-decreased
| | | | | | | | | |
potassium increases the risk of digoxin toxicity
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what is digoxin's therapeutic range? - CORRECT ANSWER✔✔-0.5-2.0
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, what's wrong with the dose of Lasix (20mg)? - CORRECT ANSWER✔✔-it's too low
| | | | | | | | | | | | |
and not getting rid of enough fluid, causing CHF exacerbation with fluid overload.
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we need to increase to 40mg
| | | | |
why do we want to monitor weight gain? - CORRECT ANSWER✔✔-anything more
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than 2-3lbs/week of weight gain from fluid overload = report to HCP
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why is it important to monitor kidney function with furosemide? - CORRECT
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ANSWER✔✔-nephrotoxic
digoxin toxicity signs and symptoms - CORRECT ANSWER✔✔-vision changes,
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dizzy, N/V, irregular pulse, confusion
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why is it important to monitor liver function with simvastatin? - CORRECT
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ANSWER✔✔-hepatotoxic
what might Bisoprolol mask? - CORRECT ANSWER✔✔-signs of hypoglycaemia
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what are the important symptoms for case study 2 (Barb)? - CORRECT
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ANSWER✔✔-diabetes type 2, osteoporosis, bipolar type 2, thyroidectomy, | | | | | | | |
alcohol/substance use, cirrhosis, current admission for femoral fracture for | | | | | | | | |
unwitnessed falls |
priority problems for case study 2 (Barb) - CORRECT ANSWER✔✔-1. risk of falls
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due to medications, multiple chronic conditions, alcohol use
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2. risk of polypharmacy
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Correct Answers
what are the important symptoms of case study 1 (Alf)? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
CHF, venous ulcer on fire and throbbing, cap refill 4+, 3+ pitting edema
| | | | | | | | | | | |
what are the diagnoses of case study 1 (Alf)? - CORRECT ANSWER✔✔-CHF
| | | | | | | | | | | |
exacerbation and CVI | |
chronic venous insufficiency - CORRECT ANSWER✔✔-veins cannot move blood
| | | | | | | | |
back to the heart, causing blood to pool into the legs, increasing pressure in the
| | | | | | | | | | | | | | |
veins and causes swelling and ulcers
| | | | |
what does CVI increase risk of? - CORRECT ANSWER✔✔-DVT
| | | | | | | |
signs and symptoms of CVI - CORRECT ANSWER✔✔-edema, dull pain, heaviness,
| | | | | | | | | | |
varicose veins, yellow ankles, itchy/flaky skin, venous ulcers, leathery skin
| | | | | | | | |
treatment of CVI - CORRECT ANSWER✔✔-elevate legs, compression stockings,
| | | | | | | | |
avoid prolonged sitting, maintain good skin patency
| | | | | |
education for CVI - CORRECT ANSWER✔✔-careful with temperatures, foot
| | | | | | | | |
trauma, avoid crossing legs, no dangling legs, no caffeine, hydrate
| | | | | | | | |
,congestive heart failure - CORRECT ANSWER✔✔-inability of the heart to provide
| | | | | | | | | | |
the body with an adequate amount of blood, either a pumping or filling issue
| | | | | | | | | | | | |
left sided heart failure - CORRECT ANSWER✔✔-lungs = dyspnea, SOB, tachypnea,
| | | | | | | | | | |
cough, crackles, cyanosis, decreased O2, confusion, weight gain, increased HR
| | | | | | | | |
right sided heart failure - CORRECT ANSWER✔✔-rest of body = ascites, enlarged
| | | | | | | | | | | |
liver and spleen, JVD, edema
| | | |
priority problems for case study 1 - CORRECT ANSWER✔✔-1. improve venous
| | | | | | | | | | |
circulation and decrease edema | | |
2. treat wound
| |
3. manage pain
| |
how do we improve venous circulation and decrease edema? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-elevate legs, increase dose of Lasix, daily weights, I/O, cap refill | | | | | | | | | |
how do we treat the venous ulcer wound? - CORRECT ANSWER✔✔-keep clean,
| | | | | | | | | | | |
prevent infection, collab with wound specialist
| | | | |
what's the concern with Lasix and Digoxin? - CORRECT ANSWER✔✔-decreased
| | | | | | | | | |
potassium increases the risk of digoxin toxicity
| | | | | |
what is digoxin's therapeutic range? - CORRECT ANSWER✔✔-0.5-2.0
| | | | | | |
, what's wrong with the dose of Lasix (20mg)? - CORRECT ANSWER✔✔-it's too low
| | | | | | | | | | | | |
and not getting rid of enough fluid, causing CHF exacerbation with fluid overload.
| | | | | | | | | | | | |
we need to increase to 40mg
| | | | |
why do we want to monitor weight gain? - CORRECT ANSWER✔✔-anything more
| | | | | | | | | | | |
than 2-3lbs/week of weight gain from fluid overload = report to HCP
| | | | | | | | | | |
why is it important to monitor kidney function with furosemide? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-nephrotoxic
digoxin toxicity signs and symptoms - CORRECT ANSWER✔✔-vision changes,
| | | | | | | | |
dizzy, N/V, irregular pulse, confusion
| | | |
why is it important to monitor liver function with simvastatin? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-hepatotoxic
what might Bisoprolol mask? - CORRECT ANSWER✔✔-signs of hypoglycaemia
| | | | | | | |
what are the important symptoms for case study 2 (Barb)? - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-diabetes type 2, osteoporosis, bipolar type 2, thyroidectomy, | | | | | | | |
alcohol/substance use, cirrhosis, current admission for femoral fracture for | | | | | | | | |
unwitnessed falls |
priority problems for case study 2 (Barb) - CORRECT ANSWER✔✔-1. risk of falls
| | | | | | | | | | | | |
due to medications, multiple chronic conditions, alcohol use
| | | | | | |
2. risk of polypharmacy
| | |
