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?

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

b. “This test will determine if your heart is performing properly”

c. “This test will provide information about the function of your liver”

 Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver

 Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure

your kidney function

d. “This test is used to check how your kidneys are working”

.

3. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally

administers the whole 10 mg from the single-dose vial. Which of the following actions should

the nurse take first?

a. Notify the client’s provider.

b. Report the incident to the pharmacy.

c. Complete an incident report.

d. Measure the client’s respiratory rate.

 Rationale: morphine OD = pulmonary edema  fills lungs w/ fluid  leading cause of death

for OD

 Rationale: Morphine can cause respiratory depression if given too much. Also you should

ALWAYS ASSESS the patient first when a med error is performed to make sure med error

doesn’t put the client’s health in risk.

4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who