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? - "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? - 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? - 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? - 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? - 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? - "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? - Have the client stand with her arms at her side and her

feet together.

A nurse is planning an deduction session for an older adult client who has just learned that she has type

2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? -

Allow extra time for the client to respond to questions