A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by

the client indicates an understanding of the teaching? -answer- "I flushed what I urinated at 7:00 a.m.

and have saved all urine since."

A nurse is assessing a client who has been on bed rest for the past month. Which of the following

findings should the nurse identify as an indication that the client has developed thrombophlebitis? -

answer- Calf swelling

A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse

manager identify as a violation of HIPAA guidelines? -answer- A nurse asks a nurse from another unit to

assist with her documentation.

A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings.

Which of the following actions should the nurse take? -answer- Remove the stockings at least once per

shift.

A nurse is administering IV fluid to an older adult client. The nurse should perform which priority

assessment to monitor for adverse effects? -answer- Auscultate lung sounds

A nurse is assessing a client's readiness to learn about insulin administration. Which of the following

statements should the nurse identify as an indication that the client is ready to learn? -answer- "I can

concentrate best in the morning."

A nurse is performing a Romberg's test during the physical assessment of a client. Which of the

following techniques should the nurse use? -answer- Have the client stand with her arms at her side and

her feet together