Nokea
The physician orders a PFT. The patient asks you how the test is performed. The best response is:
- A. A tube is inserted into lungs while the patient is asleep to expand his/her lungs to their full capacity.
- B. The patient breathes through a mouthpiece into a spirometer until all air in lungs is expelled. Then the patient will take a deep breath through the mouthpiece. This is done three times and a computer calculates the capacity of lungs.
- C. The patient breathes into a spirometer to measure lung capacity.
- D. A computer is used to measure volume and vital capacity.
Correct Answer: B
Rationale: The correct answer is B. Pulmonary function tests involve breathing into a spirometer to measure lung volumes and capacities. A is incorrect as no tube is inserted. C is incomplete. D focuses only on the computer aspect without explaining the procedure.
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A nurse is suctioning fluids from a female client through an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which if the following is the appropriate nursing intervention?
- A. Continue to suction.
- B. Notify the physician immediately.
- C. Stop the procedure and reoxygenate the client.
- D. Ensure that the suction is limited to 15 seconds.
Correct Answer: C
Rationale: The correct answer is C: Stop the procedure and reoxygenate the client. When the nurse notes a decreasing heart rate during suctioning, it could indicate that the client is experiencing hypoxia. Stopping the procedure and providing additional oxygenation is crucial to prevent further complications such as bradycardia or cardiac arrest. Continuing to suction (choice A) can worsen the hypoxia. Notifying the physician immediately (choice B) may cause a delay in addressing the immediate issue. Limiting suction to 15 seconds (choice D) does not address the primary concern of hypoxia and decreasing heart rate.
Spirometry can measure all except
- A. IC
- B. ERV
- C. FRC
- D. Vital capacity
Correct Answer: C
Rationale: Spirometry measures lung volumes and capacities. Functional Residual Capacity (FRC) is the volume of air left in the lungs after a normal exhalation, which cannot be directly measured by spirometry. Therefore, C is correct. IC (Inspiratory Capacity) is the maximum volume of air that can be inhaled after a normal exhalation, ERV (Expiratory Reserve Volume) is the additional volume of air that can be exhaled after a normal exhalation, and Vital Capacity is the total volume of air that can be exhaled after a maximum inhalation, all of which can be measured using spirometry.
A patient asks the nurse why an infection in his upper respiratory system is affecting the clarity of his speech. Which structure serves as the patient's resonating chamber in speech?
- A. Trachea
- B. Pharynx
- C. Paranasal sinuses
- D. Larynx
Correct Answer: C
Rationale: Rationale: The paranasal sinuses act as resonating chambers in speech production due to their location near the nasal cavity and their ability to amplify sound vibrations. When infected, the sinuses can become inflamed, affecting speech clarity. The trachea (A) is a passageway for air, not involved in speech. The pharynx (B) is a common pathway for both air and food, not a resonating chamber. The larynx (D) contains the vocal cords for sound production but is not primarily responsible for speech resonance.
A nurse assesses a client's respiratory status. Which information is most important for the nurse to obtain?
- A. Average daily fluid intake.
- B. Neck circumference.
- C. Height and weight.
- D. Occupation and hobbies.
Correct Answer: D
Rationale: The correct answer is D: Occupation and hobbies. This information is crucial as certain occupations or hobbies may expose the client to respiratory hazards, leading to potential respiratory issues. By assessing their occupation and hobbies, the nurse can identify any risks or triggers that could impact the client's respiratory status.
A: Average daily fluid intake is important for overall health but not directly related to respiratory status assessment.
B: Neck circumference may be relevant for assessing airway obstruction risk but is not as critical as occupation and hobbies.
C: Height and weight are more related to general health and body mass index, not specifically respiratory status assessment.
The movement of both oxygen and carbon dioxide in the body is accomplished by
- A. exocytosis and endocytosis
- B. bulk flow.
- C. osmosis
- D. diffusion.
Correct Answer: D
Rationale: The correct answer is D: diffusion. Oxygen and carbon dioxide move in and out of cells through simple diffusion, which is the passive movement of molecules from an area of high concentration to an area of low concentration. This process occurs due to the concentration gradient of these gases. Osmosis (Choice C) is the movement of water across a selectively permeable membrane, not gases like oxygen and carbon dioxide. Exocytosis and endocytosis (Choice A) involve the transport of larger molecules and particles in and out of cells, not gases. Bulk flow (Choice B) involves the movement of fluids in response to pressure differences, not the specific movement of oxygen and carbon dioxide molecules. Therefore, diffusion is the correct mechanism for the movement of oxygen and carbon dioxide in the body due to their small molecular size and the concentration gradient present.