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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,D,A,B
Explanation
The first step in addressing a client's problem is to identify possible nursing interventions that are relevant and appropriate for the situation. The next step is to determine how likely each intervention is to cause complications or adverse effects for the client, such as drug interactions or allergies. The third step is to review how beneficial each intervention is in terms of relieving symptoms, improving outcomes, or preventing complications, as well as how feasible each intervention is in terms of availability, cost, or preference. The final step is to select an intervention that provides greatest benefit and least risk for the client based on evidence-based practice and clinical judgment.
Correct Answer is D
Explanation
The rationale for this answer is that using distractions such as music, conversation, or toys can help reduce anxiety and agitation in clients with dementia who may resist bathing. It also helps create a positive and comfortable environment for the client.
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