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

A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of

regular physical activity. Which of the following types of activity should the nurse recommend?

Walking briskly

A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse

should identify that which of the following findings requires further intervention?

Erythema on pressure points

A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which

of the following actions should the nurse take?

Gently shake the container of medication prior to administration.