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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Palpating the abdomen should be done cautiously and is not the first action, especially if an abdominal obstruction is suspected.
Choice B rationale:
Auscultating bowel sounds is the first action the nurse should take when assessing a client with right lower quadrant pain, nausea, and vomiting. Bowel sounds can provide information about bowel motility and potential obstruction. The nurse should use the least invasive assessment technique first, which is auscultation.
Choice C rationale:
Administering an antiemetic may be necessary, but assessing bowel sounds takes precedence in the initial assessment.
Choice D rationale:
Offering pain medication is not the first action, as the cause of the symptoms needs to be identified before pain management. Pain medication could mask the symptoms and delay diagnosis.
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.
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