BSN 7000 final EXAM WITH CORRECT ANSWERS

BSN 7000 final EXAM WITH CORRECT
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ANSWERS

what are the important symptoms of case study 1 (Alf)? -
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CORRECT ANSWERS ✔✔CHF, venous ulcer on fire and throbbing,
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cap refill 4+, 3+ pitting edema
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what are the diagnoses of case study 1 (Alf)? - CORRECT
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ANSWERS ✔✔CHF exacerbation and CVI |\ |\ |\ |\




chronic venous insufficiency - CORRECT ANSWERS ✔✔veins
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cannot move blood back to the heart, causing blood to pool into
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the legs, increasing pressure in the veins and causes swelling
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and ulcers
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what does CVI increase risk of? - CORRECT ANSWERS ✔✔DVT
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signs and symptoms of CVI - CORRECT ANSWERS ✔✔edema, dull
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pain, heaviness, varicose veins, yellow ankles, itchy/flaky skin,
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venous ulcers, leathery skin
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treatment of CVI - CORRECT ANSWERS ✔✔elevate legs,
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compression stockings, avoid prolonged sitting, maintain good
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skin patency
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,education for CVI - CORRECT ANSWERS ✔✔careful with |\ |\ |\ |\ |\ |\ |\ |\


temperatures, foot trauma, avoid crossing legs, no dangling legs, |\ |\ |\ |\ |\ |\ |\ |\ |\


no caffeine, hydrate
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congestive heart failure - CORRECT ANSWERS ✔✔inability of the |\ |\ |\ |\ |\ |\ |\ |\ |\


heart to provide the body with an adequate amount of blood,
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either a pumping or filling issue |\ |\ |\ |\ |\




left sided heart failure - CORRECT ANSWERS ✔✔lungs = dyspnea,
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SOB, tachypnea, cough, crackles, cyanosis, decreased O2,
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confusion, weight gain, increased HR |\ |\ |\ |\




right sided heart failure - CORRECT ANSWERS ✔✔rest of body =
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ascites, enlarged liver and spleen, JVD, edema
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priority problems for case study 1 - CORRECT ANSWERS ✔✔1.
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improve venous circulation and decrease edema |\ |\ |\ |\ |\




2. treat wound
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3. manage pain
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how do we improve venous circulation and decrease edema? -
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CORRECT ANSWERS ✔✔elevate legs, increase dose of Lasix, daily
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weights, I/O, cap refill
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how do we treat the venous ulcer wound? - CORRECT ANSWERS
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✔✔keep clean, prevent infection, collab with wound specialist
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, what's the concern with Lasix and Digoxin? - CORRECT ANSWERS
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✔✔decreased potassium increases the risk of digoxin toxicity
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what is digoxin's therapeutic range? - CORRECT ANSWERS
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✔✔0.5-2.0


what's wrong with the dose of Lasix (20mg)? - CORRECT
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ANSWERS ✔✔it's too low and not getting rid of enough fluid,
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causing CHF exacerbation with fluid overload. we need to
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increase to 40mg |\ |\




why do we want to monitor weight gain? - CORRECT ANSWERS
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✔✔anything more than 2-3lbs/week of weight gain from fluid
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overload = report to HCP |\ |\ |\ |\




why is it important to monitor kidney function with furosemide? -
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CORRECT ANSWERS ✔✔nephrotoxic |\ |\




digoxin toxicity signs and symptoms - CORRECT ANSWERS
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✔✔vision changes, dizzy, N/V, irregular pulse, confusion
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why is it important to monitor liver function with simvastatin? -
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CORRECT ANSWERS ✔✔hepatotoxic |\ |\




what might Bisoprolol mask? - CORRECT ANSWERS ✔✔signs of
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hypoglycaemia