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 B
Explanation
A condom catheter is a urine collection device that fits like a condom over the penis and has a tube that goes to a collection bag strapped to the leg. To apply a condom catheter, the nurse should clean and dry the penis thoroughly, unroll the sheath over the penis, leaving 2.5 to 5 cm (1 to 2 in) of space between the end of the catheter and the tip ofthe penis, and gently squeeze the catheter around the penis shaft for 10 to 15 seconds to ensure adhesion.
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.
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