CSAP Nurse's Notes

Liver failure.
A nurse is caring for a patient diagnosed with acute liver failure. Which of the following nursing interventions are appropriate for managing this condition?
Select all that apply.

A. Monitor neurological status for signs of hepatic encephalopathy
B. Provide a high-protein diet to promote liver regeneration
C. Administer lactulose as prescribed
D. Assess for bleeding tendencies and monitor coagulation studies
E. Restrict sodium intake if ascites is present
F. Encourage alcohol consumption in small amounts to prevent withdrawal

credits: Hepatology at a Glance 2015

A patient arrives at a private medical clinic for a scheduled consultation. Upon entry, the medical receptionist instructs the patient to wait in the designated waiting area and hands the patient a registration form to complete. The receptionist verbally reminds the patient to remain seated while waiting for their name to be called.

However, the patient notices the consultation room door slightly open and assumes the doctor is already available. Without confirming with the receptionist, the patient stands up and walks toward the consultation area. At the same time, the clinic hallway floor had just been cleaned, and a “Wet Floor” caution sign was visibly placed near the entrance by the receptionist.

The patient, while looking at their mobile phone, fails to notice the warning sign and slips on the wet floor, sustaining a minor injury.

Is this a Contributory Negligence?

Chronic glomerulonephritis is a slowly progressive disease characterized by inflammation of the glomeruli, which results in sclerosis, scarring and, eventually, renal failure. This condition normally remains subclinical until the progressive phase begins. By the time it produces symptoms, chronic glomerulonephritis is usually irreversible.

A 9-year-old is admitted with acute glomerulonephritis. The nurse expects to obtain which of the following assessment findings?
A. Pneumonia 1 week ago
B. Gastroenteritis
C. “Strep throat” 2 weeks ago
D. Influenza 1 week ago

Credits: Lippincott's Visual Nursing : A Guide to Diseases, Skills, and Treatment 2nd Edition

A neoplastic disorder, Hodgkin disease is characterized by painless, progressive enlargement of the lymph nodes, spleen, and other lymphoid tissue. This enlargement results from proliferation of lymphocytes, histiocytes, eosinophils, and Reed-Sternberg
cells. The latter cells are the special histologic feature of the disease.
Hodgkin disease occurs in all races but is slightly more common in whites. Its incidence peaks in two agegroups—15 to 38 and after age 50. It occurs most commonly in young
adults, except in Japan, where it occurs exclusively among people older than age 50. It has a higher incidence in males than in females. A family history of Hodgkin disease increases the likelihood of acquiring the disorder.
Untreated, Hodgkin disease follows a variable but relentlessly progressive and ultimately fatal course. However, recent advances in therapy make Hodgkin disease potentially curable,
even in advanced stages. Appropriate treatment in the early stage yields a 5-year survival rate of about 90%.
Although the cause of Hodgkin disease is unknown, some studies point to genetic, viral, or environmental factors.

Credits: Lippincott's Visual Nursing : A Guide to Diseases, Skills, and Treatment 2nd Edition