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 determine if your heart is performing properly."

This test will indicate if you are at risk for developing blood clots."

This test will provide information about the function of your liver."

This test is used to check how your kidneys are working."

Answer and Explanation

The Correct Answer is C

A tracheostomy is a surgical opening in the neck that allows air to enter the lungs through a tube called a tracheostomy tube. The tube has two parts: an outer cannula that stays in place and an inner cannula that can be removed for cleaning. The tracheostomy ties are used to secure the tube to the neck and prevent it from falling out. They should be adjusted to allow one finger to fit snugly underneath so that they are not too tight or too loose.

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Correct Answer is D

Explanation

An ankle-foot orthotic (AFO) is a device that supports the ankle and foot in a neutral position and prevents plantar flexion contracture, which is a common complication of stroke. An abduction splint is used to prevent hip adduction contracture, which is not related to plantar flexion. A sequential compression device (SCD) is used to prevent deep vein thrombosis (DVT), which is not related to contracture prevention. A continuous passive motion machine (CPM) is used to promote joint mobility and healing after surgery, which is not indicated for this client.

A. I will tighten my abdominal muscles prior to moving. B. I will keep my legs straight to provide more power in the lift C. I will place the bed in the lowest position. D. I will twist at the waist while pulling the draw sheet.

Correct Answer is A

Explanation

This statement shows that the caregiver knows how to use proper body mechanics when lifting or moving a client in bed, which can prevent back strain and injury.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?

Correct Answer is D

Explanation

A nurse is providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed. Which of the following statements by the caregiver indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?

A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

A visitor reports to a nurse that she slipped and fell in a client's room. The visitor denies any injury, but is walking with a slight limp. Which of the following actions should the nurse take?

A nurse is providing end-of-life care for a client. Which of the following actions should the nurse take?

A nurse is preparing to apply a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse plan to take?

A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?