Pulmonary Function Tests Overview
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Questions and Answers

What is the primary purpose of pulmonary function tests?

  • To measure blood pressure and heart rate
  • To assess digestive system health
  • To determine skin allergy reactions
  • To evaluate lung function and identify breathing issues (correct)
  • Which factor should be considered regarding smoking before pulmonary function tests?

  • Smoking has no effect on the results of the tests
  • Clients should refrain from smoking for 6 to 8 hours before testing (correct)
  • Clients should smoke immediately before testing
  • Clients should smoke at least 2 hours before the tests
  • In what context might pulmonary function tests be ordered?

  • To evaluate lung function before surgical procedures (correct)
  • To monitor insulin levels in diabetic patients
  • To determine bone density
  • To test for food allergies
  • What role do pulmonary function tests play for clients with dyspnea?

    <p>They assist in identifying underlying lung diseases</p> Signup and view all the answers

    How long should inhalers be withheld before taking pulmonary function tests?

    <p>4 to 6 hours</p> Signup and view all the answers

    What does the pH value measure in an arterial blood gas report?

    <p>Amount of free hydrogen ions</p> Signup and view all the answers

    Which component of an arterial blood gas analysis indicates the efficiency of oxygen transport?

    <p>SaO2</p> Signup and view all the answers

    How can arterial blood gases be obtained?

    <p>By an arterial puncture or through an arterial line</p> Signup and view all the answers

    What does the PaCO2 measurement indicate in an arterial blood gas?

    <p>The partial pressure of carbon dioxide in blood</p> Signup and view all the answers

    What does the HCO3¯ value represent in an arterial blood gas analysis?

    <p>Concentration of bicarbonate in arterial blood</p> Signup and view all the answers

    What is the purpose of performing an Allen's test before arterial puncture?

    <p>To verify the patency of the radial and ulnar arteries.</p> Signup and view all the answers

    Why is it important to compress both the ulnar and radial arteries during the Allen's test?

    <p>To observe capillary refill in the palm and fingers.</p> Signup and view all the answers

    What should happen to the client's hand in the Allen's test if the ulnar artery is patent?

    <p>It should turn pink within 15 seconds.</p> Signup and view all the answers

    What is a common experience for clients undergoing arterial blood gas checks?

    <p>They are often unaware of the purpose of the puncture.</p> Signup and view all the answers

    What equipment is essential for collecting an arterial blood gas sample?

    <p>A heparinized syringe for the sample collection.</p> Signup and view all the answers

    What technique should be used when performing an arterial puncture?

    <p>Surgical aseptic technique</p> Signup and view all the answers

    Where should a collected arterial blood specimen be placed to preserve pH levels and oxygen pressure?

    <p>In a basin of ice and water</p> Signup and view all the answers

    Which group of clients may present more difficulty when accessing the radial artery for sampling?

    <p>Older adult clients</p> Signup and view all the answers

    Who frequently performs arterial punctures in hospital settings?

    <p>Respiratory therapists</p> Signup and view all the answers

    What should be done with the collected specimen after it is capped?

    <p>Transport it to the laboratory immediately</p> Signup and view all the answers

    What is the minimum duration for maintaining direct pressure at the arterial puncture site if the client is on anticoagulant therapy?

    <p>20 minutes</p> Signup and view all the answers

    Which of the following interventions should be documented after an arterial puncture?

    <p>All interventions performed</p> Signup and view all the answers

    What does a blood pH level less than 7.35 indicate?

    <p>Acidosis</p> Signup and view all the answers

    Which observation should be monitored at the arterial blood gas sampling site after the procedure?

    <p>Pulse quality</p> Signup and view all the answers

    What action should be taken if bleeding is still present after performing direct pressure post-arterial puncture?

    <p>Reapply direct pressure</p> Signup and view all the answers

    What blood pH level indicates acidosis?

    <p>7.35</p> Signup and view all the answers

    Which action should be taken if air embolism signs occur during an arterial puncture?

    <p>Place the client in the flat or Trendelenburg position.</p> Signup and view all the answers

    What is the expected reference range for HCO3¯ in an arterial blood gas analysis?

    <p>22 to 26 mEq/L</p> Signup and view all the answers

    Which complication occurs due to blood accumulation under the skin at the puncture site?

    <p>Hematoma</p> Signup and view all the answers

    What should be monitored for after an arterial blood gas sampling procedure?

    <p>Temperature changes and swelling</p> Signup and view all the answers

    What is one indication for performing a bronchoscopy?

    <p>Visualization of abnormalities such as tumors</p> Signup and view all the answers

    Which statement accurately describes a risk associated with bronchoscopy that includes a biopsy?

    <p>Potential for bleeding and perforation</p> Signup and view all the answers

    In which setting can bronchoscopy be performed?

    <p>At the bedside under local anesthesia and sedation</p> Signup and view all the answers

    What is a therapeutic reason for performing a bronchoscopy?

    <p>Removal of foreign bodies from the tracheobronchial tree</p> Signup and view all the answers

    Which of the following statements about bronchoscopy is true?

    <p>It can be performed on clients receiving mechanical ventilation.</p> Signup and view all the answers

    Study Notes

    Pulmonary Function Tests (PFTs)

    • PFTs assess lung function and breathing problems.
    • They measure lung volumes, capacities, diffusion capacity, gas exchange, flow rates, airway resistance, and ventilation distribution.
    • PFTs help diagnose lung diseases.
    • Often used for clients experiencing shortness of breath (dyspnea).
    • Helpful in identifying respiratory risks before surgery.
    • Smokers should not smoke 6-8 hours before testing.
    • Clients using inhalers should withhold them 4-6 hours before testing (facility protocols may vary).

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    Description

    This quiz covers the key aspects of pulmonary function tests (PFTs), including their purpose in assessing lung function and diagnosing respiratory issues. Learn about various measurements involved in PFTs and important pre-test protocols for patients. It's essential for understanding respiratory care and managing lung diseases effectively.

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