The nurse is monitoring a patient with diagnosis of peptic ulcer.  Which assessment finding would most likely indicate perforation of the ulcer?

Ten minutes after a unit of packed RBCs is initiated, the patient complains of chest tightness, dyspnea, and exhibits urticaria.  The nurse immediately assesses that the patient is having a blood transfusion reaction.  Rank in order the nurse’s actions, with that of the highest priority first.

The nurse is evaluating a patient with erectile dysfunction. Which medication currently used by the patient could be an underlying cause?

The nurse is monitoring a patient with diagnosis of peptic ulcer.  Which assessment finding would most likely indicate perforation of the ulcer?

The nurse is providing pre-procedure teaching about a cystoscopy.  What patient statement alerts the nurse that additional teaching is needed?

A 23-year-old man has a slight fever and unplanned weight loss suggestive of early-stage Hodgkin’s Disease.  The nurse recognizes which additional signs and symptoms that may also be seen with Hodgkin’s Disease at this time?

A patient is suspected of having hepatitis.  Which diagnostic test results will assist in confirming the diagnosis? 

The nurse is performing a colostomy irrigation on a patient. During the irrigation, the patient begins to complain of abdominal cramps.  Which is the most appropriate nursing action?

After a left radical mastectomy, the nurse provides postoperative teaching prior to the patient’s discharge.  Which patient statements indicate that the patient understands the teaching?

A 23-year-old man has a slight fever and unplanned weight loss suggestive of early-stage Hodgkin’s Disease.  The nurse recognizes which additional signs and symptoms that may also be seen with Hodgkin’s Disease at this time?