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 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.
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 is caring for a client who is expressing anger over his diagnosis of colorectal cancer.
Which of the following actions should the nurse take? - Reassure the client that this is an
expected response to grief.
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 ma [Show Less]