BSN 7000 FINAL || ALL ACCURATELY ANSWERED.
what are the important symptoms of case study 1 (Alf)? correct answers CHF, venous ulcer on
fire and throbbing, cap refill 4+, 3+ pitting edema
what are the diagnoses of case study 1 (Alf)? correct answers CHF exacerbation and CVI
chronic venous insufficiency correct answers 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 answers DVT
signs and symptoms of CVI correct answers edema, dull pain, heaviness, varicose veins, yellow
ankles, itchy/flaky skin, venous ulcers, leathery skin
treatment of CVI correct answers elevate legs, compression stockings, avoid prolonged sitting,
maintain good skin patency
education for CVI correct answers careful with temperatures, foot trauma, avoid crossing legs,
no dangling legs, no caffeine, hydrate
congestive heart failure correct answers 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 answers lungs = dyspnea, SOB, tachypnea, cough, crackles,
cyanosis, decreased O2, confusion, weight gain, increased HR
right sided heart failure correct answers rest of body = ascites, enlarged liver and spleen, JVD,
edema
, priority problems for case study 1 correct answers 1. improve venous circulation and decrease
edema
2. treat wound
3. manage pain
how do we improve venous circulation and decrease edema? correct answers elevate legs,
increase dose of Lasix, daily weights, I/O, cap refill
how do we treat the venous ulcer wound? correct answers keep clean, prevent infection, collab
with wound specialist
what's the concern with Lasix and Digoxin? correct answers decreased potassium increases the
risk of digoxin toxicity
what is digoxin's therapeutic range? correct answers 0.5-2.0
what's wrong with the dose of Lasix (20mg)? correct answers 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 answers 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 answers nephrotoxic
digoxin toxicity signs and symptoms correct answers vision changes, dizzy, N/V, irregular pulse,
confusion
why is it important to monitor liver function with simvastatin? correct answers hepatotoxic
what are the important symptoms of case study 1 (Alf)? correct answers CHF, venous ulcer on
fire and throbbing, cap refill 4+, 3+ pitting edema
what are the diagnoses of case study 1 (Alf)? correct answers CHF exacerbation and CVI
chronic venous insufficiency correct answers 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 answers DVT
signs and symptoms of CVI correct answers edema, dull pain, heaviness, varicose veins, yellow
ankles, itchy/flaky skin, venous ulcers, leathery skin
treatment of CVI correct answers elevate legs, compression stockings, avoid prolonged sitting,
maintain good skin patency
education for CVI correct answers careful with temperatures, foot trauma, avoid crossing legs,
no dangling legs, no caffeine, hydrate
congestive heart failure correct answers 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 answers lungs = dyspnea, SOB, tachypnea, cough, crackles,
cyanosis, decreased O2, confusion, weight gain, increased HR
right sided heart failure correct answers rest of body = ascites, enlarged liver and spleen, JVD,
edema
, priority problems for case study 1 correct answers 1. improve venous circulation and decrease
edema
2. treat wound
3. manage pain
how do we improve venous circulation and decrease edema? correct answers elevate legs,
increase dose of Lasix, daily weights, I/O, cap refill
how do we treat the venous ulcer wound? correct answers keep clean, prevent infection, collab
with wound specialist
what's the concern with Lasix and Digoxin? correct answers decreased potassium increases the
risk of digoxin toxicity
what is digoxin's therapeutic range? correct answers 0.5-2.0
what's wrong with the dose of Lasix (20mg)? correct answers 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 answers 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 answers nephrotoxic
digoxin toxicity signs and symptoms correct answers vision changes, dizzy, N/V, irregular pulse,
confusion
why is it important to monitor liver function with simvastatin? correct answers hepatotoxic
