You have a client who is doing her workup for surgery. She has come to you to schedule her pulmonary function studies. She has asthma but is otherwise healthy and doesn't understand why she needs this test
a. What is a pulmonary function study and describe what is involved.
b. What does the client need to know when she shows up the day of the test?
Students' answers should include the following:
a. Included in the discussion would be what the pulmonary function test is and how it measures the ability of the lungs to function properly, assessing the preoperative status of a person's lungs. Other reasons for these function studies can be discussed, including screening employees who work in hazardous environments.
Discussion of what is involved should include the spirometer and what tidal volume, inspiratory reserve volume, expiratory reserve volume, vital capacity, total lung capacity, inspiratory capacity, vital capacity, residual volume, functional residual capacity, and forced vital capacity are. Pulmonary function tests are also based on weight, sex, and height.
b. The client needs to know that she needs to wear loose clothing, her lungs will be tested for air volume and capacity while sitting and standing, she will wear a nose clip when using the spirometer, and she may be asked to use a bronchodilator to see if there are any changes noted.
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