You are the clinic nurse caring for a patient who has just had a pulmonary function test ordered. The patient asks you what this test is for. What would be your best answer?
A) "A PFT measures lung volumes, ventilatory function, and the mechanics of breathing."
B) "A PFT measures how deep you breathe."
C) "A PFT measures how elastic your lungs are."
D) "A PFT measures whether you have adequate gas exchange."
Ans: A
Feedback: Pulmonary function tests (PFTs) are routinely used in patients with chronic respiratory disorders. They are performed to assess respiratory function and to determine the extent of dysfunction. Such tests include measurements of lung volumes, ventilatory function, and the mechanics of breathing, diffusion, and gas exchange. All answers are correct, but options B, C, and D are not the best answer for the patient.
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The wellness/illness continuum is defined as:
a. a concept that never changes. b. the range of a person's total health. c. a continuum influenced only by one's physical condition. d. an idea that focuses strictly on an individual's social well-being.
Medicare would be responsible for: (Select all that apply.)
a. a hospital stay following a total knee replacement for a 70-year-old client. b. nursing home cost for a 67-year-old adult receiving hemodialysis. c. rehabilitation care costs for a 24-year-old client with a broken femur resulting from a fall at work. d. prescription cost for a young mother who meets eligibility for Aid to Families with Dependent Children (AFDC). e. home health services to administer heparin to a 27-year-old truck driver following a thrombus.
A nurse asks an attorney specializing in health care for examples of malpractice. Which of the following would the attorney give as examples of malpractice? Select all that apply. a. A nurse administers digoxin to the wrong patient, and the patient dies. b. A nurse hangs an IV after checking the label, but the pharmacist placed the wrongcontents in the IV, and the patient dies
c. A patient has been admitted to the hospital under an order of commitment, but she elopesand is killed by a drunk driver outside the hospital. d. A nurse does not restart an IV for a client in sickle cell crisis when the original IVinfiltrates. Lacking needed fluids, the patient dies. e. A nurse places a patient in restraints without a physician's order, and the patient suffocates while trying to get out of the restraints. f. A client is experiencing complications of labor, and the nurse contacts the physician while he is at a major fundraising event.
The adult child of a critically ill patient has been keeping vigil, remaining at the bedside constantly for 3 days
Which communication from the nurse would be most appropriate when the child becomes demanding and impatient with the staff providing the parent's care? a. "I can see that you are feeling short-tempered, which is not unusual under the circumstances. Still, it is not good for your parent to hear you complaining.". b. "It must be difficult for you to be here day after day. What other family members can stay so that you can get a good night's sleep at home?" c. "It would be best for you to go home for a few days and get some sleep and proper nutrition. Do you have the number here so you can call if you feel the need to?" d. "You have had little sleep in the last few days. Perhaps you should go home for some rest. You can't be of much help if you are so tired you can't think properly.".