A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
"This test will provide information about the function of your liver."
"This test is used to check how your kidneys are working."
"This test will determine if your heart is performing properly."
"This test will indicate if you are at risk for developing blood clots."
The Correct Answer is A
Choice A rationale:
This response is correct. ALT (alanine aminotransferase) is an enzyme found in the liver. An elevated ALT level may indicate liver damage or disease.
Choice B rationale:
ALT is not specific to kidney function.
Choice C rationale:
ALT does not provide information about heart function.
Choice D rationale:
ALT is not associated with the risk of developing blood clots.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Tying restraints to the side rail is unsafe and increases the risk of injury. Restraints should be attached to the bed frame, not the side rails.
Choice B rationale:
Removing the restraints every 3 hr is not enough to prevent complications such as skin breakdown, nerve damage, or circulation impairment.
Choice C rationale:
Securing restraints with a square knot can make it difficult to release them quickly in an emergency.
Choice D rationale:
Removing one restraint at a time allows the nurse to assess the client's behavior and readiness for restraint removal, as well as to provide care and comfort.
Correct Answer is B
Explanation
Choice A rationale:
Laughing at a television show is not a direct indicator of the effectiveness of the warm, moist compress in relieving lower back pain.
Choice B rationale:
Intact skin on the lower back without redness indicates that the compress has been effective in preventing skin damage or irritation.
Choice C rationale:
The ability to concentrate while reading may not be a specific indicator of the effectiveness of the warm compress in relieving lower back pain.
Choice D rationale:
Vital signs within the expected reference range are important but do not directly reflect the effectiveness of the warm compress in relieving pain.
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