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
... [Show More] 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
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of
the following actions should the nurse take first? - Check the client for injuries
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I
am at an average risk for colon cancer, I should have routine screening. What does that
involve?" Which of the following responses should the nurse make? - "You should have a
fecal occult blood test every year."
A nurse manager is preparing to review medication documentation with a group of newly
licensed nurses. Which of the following statements should the nurse manager plan to include
in the teaching? - "Use the complete name of the medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the following actions should the
nurse take? - Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units
of NPH insulin to mix together and administer subcutaneously. Determine the correct order
of steps for this procedure. - Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the
following interventions should the nurse include that is within the RN scope of practice? -
Initiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of
the following actions should the nurse take when inserting the NG tube? - Have the client
take sips of water to promote insertion of the NG tube into the esophagus.
A nurse is assessing an older client's risk for falls. Which of the following assessments should
the nurse use to identify the client's safety needs? - Pupil Clarit [Show Less]