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