A patient newly diagnosed with irritable bowel syndrome tells the nurse, “My doctor keeps asking me about my stress levels. I’m not making this up — my pain and diarrhea are real. Why does stress even matter if this is a bowel problem?” Which response by the nurse best explains the relationship?  

A patient with esophageal varices has a Sengstaken-Blakemore tube in place for active bleeding. The provider orders insertion of an additional nasogastric tube. The patient’s family asks, “He already has a tube — why does he need another one?” Which response by the nurse best explains the rationale?  

A 22-year-old college student is diagnosed with acute hepatitis A after presenting with fatigue, anorexia, nausea, and jaundice. The patient works at a daycare center caring for toddlers. Which instruction by the nurse regarding return to work is most appropriate?  

A nurse is caring for a 9-year-old child admitted with suspected acute appendicitis. Several hours after admission, the child reports that the abdominal pain has suddenly decreased. Which additional assessment finding would most strongly indicate perforation of the appendix, requiring immediate intervention?

A client is receiving a continuous IV infusion of heparin. The IV pump is currently set to infuse at 18 mL/hr. The available solution is 20,000 units of heparin in 250 mL of D5W. How many units per hour is the client receiving?  Round to the nearest whole number.

A patient who underwent laparoscopic cholecystectomy four hours ago reports right shoulder pain rated 5/10. The patient denies chest pain and has an oxygen saturation of 98%. Which response by the nurse is most appropriate?  

A patient with chronic alcohol use disorder is admitted and placed on a protocol including diazepam to prevent alcohol withdrawal syndrome. His last drink was 12 hours ago.  The nurse understands that this medication is effective because it:    

A 54-year-old male with a history of cirrhosis and esophageal varices is brought to the emergency department after vomiting large amounts of bright red blood. He continues to retch violently and has blood trickling from the corners of his mouth. On assessment, the patient is pale, diaphoretic, and anxious. Vital signs: BP 88/54 mmHg, HR 128 bpm, RR 28/min, SpO₂ 91% on room air. Which nursing action takes the highest priority at this moment?

Q47. What is the intended outcome of the chemoprotective drugs? 

Q37. Which rational correctly states the advantage of combination therapy using cell cycle–specific and cell cycle–nonspecific agents?