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 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