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 B

Explanation

The client should press the inner corner of their eye after inserting the drops to prevent systemic absorption and reduce side effects. The client should raise their eyelid up while looking up (not down) to insert the drops.

A. Wearing gloves when performing perineal care B. Failing to don a mask when entering a client's isolation room C. Cleansing visibly fecal-soiled hands with alcohol-based hand rub D. Putting on a protective gown before entering a client's room

Correct Answer is C

Explanation

Cleansing visibly fecal-soiled hands with alcohol-based hand rub is a possible source of infection because alcohol-based hand rubs are not effective against Clostridium difficile spores. The nurse should wash his or her hands with soap and water for at least 15 seconds after contact with fecal material or surfaces contaminated with feces.

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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 providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of infection?

Correct Answer is C

Explanation

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A nurse is caring for a client who is dying and having Cheyne-Stokes respirations. Which of the following respiratory findings should the nurse expect?

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?

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A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?