bsn 7000 final questions and answers 100%
verified 2025/2026 latest update
what are the important symptoms of case study 1 (Alf)? - answerCHF, venous ulcer on fire and
throbbing, cap refill 4+, 3+ pitting edema
what are the diagnoses of case study 1 (Alf)? - answerCHF exacerbation and CVI
chronic venous insufficiency - answerveins 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? - answerDVT
signs and symptoms of CVI - answeredema, dull pain, heaviness, varicose veins, yellow ankles,
itchy/flaky skin, venous ulcers, leathery skin
treatment of CVI - answerelevate legs, compression stockings, avoid prolonged sitting, maintain good
skin patency
education for CVI - answercareful with temperatures, foot trauma, avoid crossing legs, no dangling legs,
no caffeine, hydrate
congestive heart failure - answerinability of the heart to provide the body with an adequate amount of
blood, either a pumping or filling issue
left sided heart failure - answerlungs = dyspnea, SOB, tachypnea, cough, crackles, cyanosis, decreased
O2, confusion, weight gain, increased HR
right sided heart failure - answerrest of body = ascites, enlarged liver and spleen, JVD, edema
priority problems for case study 1 - answer1. improve venous circulation and decrease edema
2. treat wound
,3. manage pain
how do we improve venous circulation and decrease edema? - answerelevate legs, increase dose of
Lasix, daily weights, I/O, cap refill
how do we treat the venous ulcer wound? - answerkeep clean, prevent infection, collab with wound
specialist
what's the concern with Lasix and Digoxin? - answerdecreased potassium increases the risk of digoxin
toxicity
what is digoxin's therapeutic range? - answer0.5-2.0
what's wrong with the dose of Lasix (20mg)? - answerit'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? - answeranything more than 2-3lbs/week of weight gain from
fluid overload = report to HCP
why is it important to monitor kidney function with furosemide? - answernephrotoxic
digoxin toxicity signs and symptoms - answervision changes, dizzy, N/V, irregular pulse, confusion
why is it important to monitor liver function with simvastatin? - answerhepatotoxic
what might Bisoprolol mask? - answersigns of hypoglycaemia
what are the important symptoms for case study 2 (Barb)? - answerdiabetes 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) - answer1. risk of falls due to medications, multiple chronic
conditions, alcohol use
2. risk of polypharmacy
3. risk of medications not being taken properly
how do we improve the risk of falls? - answerOT/PT/home health, mobilize safely at home, pain relief
how do we improve risk of polypharmacy? - answerinvolve pharmacist, use blister packs, assess side
effects (orthostatic hypotension, serotonin syndrome), assess environment, assess mental health
what's the concern with risperidone? - answercauses orthostatic hypotension
what do we do to teach the client about orthostatic hypotension? - answerteach client to get up and
change positions slowly, regularly check BP in different positions to track changes and effectiveness of
management
what's the concern with venlafaxine? - answermonitor for serotonin syndrome and patient is on the
maximum dose (225mg)
signs and symptoms of serotonin syndrome - answertremors, sweating, agitation, confusion, delirium,
N/D/V, tachycardia, dilated pupils, muscle rigidity
polypharmacy - answermore than 5 medications
what do we want to educate about Diclofenac? - answerinquire about changing to topical Voltaren due
to risk of long term use
what are the important symptoms of case study 3 (Carlos)? - answerdiabetes type 2, hypertension,
peripheral neuropathy, several toes amputated, admitted for antibiotics for potential venous ulcer
hyperosmolar hyperglycaemic state (HHS) - answercaused by unmanaged type 2 diabetes with slow
onset and harder to treat
verified 2025/2026 latest update
what are the important symptoms of case study 1 (Alf)? - answerCHF, venous ulcer on fire and
throbbing, cap refill 4+, 3+ pitting edema
what are the diagnoses of case study 1 (Alf)? - answerCHF exacerbation and CVI
chronic venous insufficiency - answerveins 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? - answerDVT
signs and symptoms of CVI - answeredema, dull pain, heaviness, varicose veins, yellow ankles,
itchy/flaky skin, venous ulcers, leathery skin
treatment of CVI - answerelevate legs, compression stockings, avoid prolonged sitting, maintain good
skin patency
education for CVI - answercareful with temperatures, foot trauma, avoid crossing legs, no dangling legs,
no caffeine, hydrate
congestive heart failure - answerinability of the heart to provide the body with an adequate amount of
blood, either a pumping or filling issue
left sided heart failure - answerlungs = dyspnea, SOB, tachypnea, cough, crackles, cyanosis, decreased
O2, confusion, weight gain, increased HR
right sided heart failure - answerrest of body = ascites, enlarged liver and spleen, JVD, edema
priority problems for case study 1 - answer1. improve venous circulation and decrease edema
2. treat wound
,3. manage pain
how do we improve venous circulation and decrease edema? - answerelevate legs, increase dose of
Lasix, daily weights, I/O, cap refill
how do we treat the venous ulcer wound? - answerkeep clean, prevent infection, collab with wound
specialist
what's the concern with Lasix and Digoxin? - answerdecreased potassium increases the risk of digoxin
toxicity
what is digoxin's therapeutic range? - answer0.5-2.0
what's wrong with the dose of Lasix (20mg)? - answerit'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? - answeranything more than 2-3lbs/week of weight gain from
fluid overload = report to HCP
why is it important to monitor kidney function with furosemide? - answernephrotoxic
digoxin toxicity signs and symptoms - answervision changes, dizzy, N/V, irregular pulse, confusion
why is it important to monitor liver function with simvastatin? - answerhepatotoxic
what might Bisoprolol mask? - answersigns of hypoglycaemia
what are the important symptoms for case study 2 (Barb)? - answerdiabetes 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) - answer1. risk of falls due to medications, multiple chronic
conditions, alcohol use
2. risk of polypharmacy
3. risk of medications not being taken properly
how do we improve the risk of falls? - answerOT/PT/home health, mobilize safely at home, pain relief
how do we improve risk of polypharmacy? - answerinvolve pharmacist, use blister packs, assess side
effects (orthostatic hypotension, serotonin syndrome), assess environment, assess mental health
what's the concern with risperidone? - answercauses orthostatic hypotension
what do we do to teach the client about orthostatic hypotension? - answerteach client to get up and
change positions slowly, regularly check BP in different positions to track changes and effectiveness of
management
what's the concern with venlafaxine? - answermonitor for serotonin syndrome and patient is on the
maximum dose (225mg)
signs and symptoms of serotonin syndrome - answertremors, sweating, agitation, confusion, delirium,
N/D/V, tachycardia, dilated pupils, muscle rigidity
polypharmacy - answermore than 5 medications
what do we want to educate about Diclofenac? - answerinquire about changing to topical Voltaren due
to risk of long term use
what are the important symptoms of case study 3 (Carlos)? - answerdiabetes type 2, hypertension,
peripheral neuropathy, several toes amputated, admitted for antibiotics for potential venous ulcer
hyperosmolar hyperglycaemic state (HHS) - answercaused by unmanaged type 2 diabetes with slow
onset and harder to treat
