Pulmonary Testing & Treatments Concept Overview

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What is the purpose of using a pulse oximeter on a patient's finger?

To conduct a spirometry procedure

To obtain a patient's blood pressure

To measure peripheral blood oxygen saturation level (correct)

To check for pulse irregularities

Which of the following factors could potentially alter or prevent accurate pulse oximeter readings?

Using a stethoscope simultaneously

Wearing eyeglasses

Dark nail polish color (correct)

Having a bracelet on the wrist

What range is considered normal for peripheral blood oxygen saturation level?

100-105%

80-85%

85-90%

95-100% (correct)

Where else on the body can a pulse oximeter be placed if the finger is not suitable?

Toes and earlobes Signup and view all the answers

Which procedure in an office visit is likely to involve obtaining a patient's pulse oximetry reading?

Initial rooming of a patient before pulmonary function test Signup and view all the answers

What information does a pulse oximeter provide in addition to peripheral blood oxygen saturation level?

Patient's pulse rate Signup and view all the answers

What is albuterol primarily used for?

Treating bronchial obstructions Signup and view all the answers

How is albuterol typically administered for treatment?

Through an inhaler or nebulizer Signup and view all the answers

What is the purpose of using a nebulizer in administering albuterol?

To create vapor for inhalation from liquid albuterol Signup and view all the answers

Why should patients be checked on regularly during albuterol treatment via nebulizer?

To monitor for any adverse effects Signup and view all the answers

After albuterol treatment, what may a provider wish to repeat to assess its effectiveness?

Pulse oximetry or pulmonary function testing Signup and view all the answers

What is the responsibility of a Medical Assistant in terms of documentation related to spirometry results?

Scanning and importing spirometry results into the patient's chart Signup and view all the answers

How many acceptable and reproducible maneuvers must be obtained during spirometry testing?

3 acceptable and 2 reproducible Signup and view all the answers

What determines if a maneuver is acceptable or reproducible during spirometry testing?

The spirometer Signup and view all the answers

What is the maximum number of maneuvers that should be performed in a single spirometry test session?

8 Signup and view all the answers

Why is coaching and encouraging the patient important during spirometry testing?

To ensure accurate results Signup and view all the answers

Which component of spirometry results is directly affected by the medical assistant's ability to communicate directions to the patient?

All of the above Signup and view all the answers

What is the purpose of connecting exhaling instructions to familiar activities for pediatric patients during spirometry testing?

To encourage cooperation Signup and view all the answers

Which axis on a spirometry graph represents the flow of air?

Vertical axis Signup and view all the answers

What does the FEV1 value measure in a spirometry test?

The amount of air forcefully exhaled in the first second Signup and view all the answers

Which factors are used to determine reference values for interpreting spirometry results?

Age, sex, height, and ethnicity Signup and view all the answers

What can help a medical assistant navigate administering spirometry tests with compassion and empathy?

Understanding that the test can be difficult for patients Signup and view all the answers

What is a recommended alternative phrase for 'pulse oximetry'?

Oxygen level check Signup and view all the answers

How many acceptable and reproducible maneuvers are required for a quality test?

3 Signup and view all the answers

Which grade will a session not exceed after only one maneuver?

C Signup and view all the answers

What is advised in the text when a patient doubts their physical ability to continue testing?

Respect the patient's wishes and let the ordering physician address further testing needs Signup and view all the answers

'Good job! Go again.' is an example of feedback provided by the testing device that should be:

Translated into a more sensitive message for the patient Signup and view all the answers

What is the purpose of offering the patient some water after testing?

To show appreciation for participating Signup and view all the answers

'Breath out harder...' from a spirometer's instructions should be translated to encourage:

'Blow out as much air as you can in the first second' Signup and view all the answers

'Deeper breath...' from a spirometer's instructions should be translated to encourage which action?

'Puff up your chest and breathe all the way in' Signup and view all the answers

'We’ll do a number of tests' is preferred over giving an expectation of a specific number of tests because:

It provides flexibility and avoids setting unrealistic expectations Signup and view all the answers

What communication approach is recommended for Medical Assistants during testing?

Warm, enthusiastic, compassionate, and encouraging Signup and view all the answers

What is the purpose of pulmonary function testing (PFTs)?

To screen for, diagnose, monitor, and determine treatment for lung conditions Signup and view all the answers

What is the main purpose of the Peak Flows pulmonary function test?

To measure the patient's peak expiratory flow rate Signup and view all the answers

What is the key difference between the Peak Flows and Spirometry pulmonary function tests?

Peak Flows measures peak expiratory flow rate, while Spirometry measures forced vital capacity Signup and view all the answers

What is the purpose of having the patient perform the Peak Flows test multiple times?

To compare the results before and after a bronchodilation treatment Signup and view all the answers

What is the key instruction given to the patient during the Spirometry test?

Breathe in as much air as possible, then blast out the air as hard and fast as possible Signup and view all the answers

Why is the Medical Assistant's communication important during the Spirometry test?

Both a and b Signup and view all the answers

What should the Medical Assistant do before giving instructions to the patient for the Spirometry test?

All of the above Signup and view all the answers

What is the purpose of the nose clip used during the Spirometry test?

To prevent air leakage through the nose Signup and view all the answers

What is the purpose of the spirette used during the Spirometry test?

To provide a mouthpiece for the patient to breathe through Signup and view all the answers

A nebulizer is a small device which can turn albuterol, a liquid medication, into ______

vapor Signup and view all the answers

The provider may wish to repeat pulse oximetry or pulmonary function testing to determine if treatment helped improve ______ ability

breathing Signup and view all the answers

The Medical Assistant must ensure a copy of spirometry results is scanned and imported into the patient’s ______, if not done automatically

chart Signup and view all the answers

Spirograms may be printed on paper or electronically sent to the corresponding patient’s ______

chart Signup and view all the answers

Most EMR software will have unique workflows on how to document spirometry results, procedure administration, and ______

charges Signup and view all the answers

It is the Medical Assistant’s responsibility to ensure complete documentation, including patient’s full name, date of birth, and the MA’s name and ______ on each document’s page

credential Signup and view all the answers

Many patients will come to an office visit with ______ as a primary symptom.

shortness of breath Signup and view all the answers

The pulse oximeter will need to be placed on an area of the body where the infrared light can ______ the skin to accurately read the percentage of red blood cells which are carrying oxygen molecules.

penetrate Signup and view all the answers

A normal peripheral blood oxygen saturation level ______ from 95-100%.

ranges Signup and view all the answers

Pulse oximeter devices also read a patient's ______, but may not determine presence of pulse irregularities.

pulse Signup and view all the answers

The ______ can potentially alter or prevent accurate pulse oximeter readings.

color of dark nail polish, false nails, or cold hands (causing poor circulation) Signup and view all the answers

Toes and ______ are alternative sites to consider for pulse oximetry.

earlobes Signup and view all the answers

Avoid using medical language that can be difficult to understand. Try replacing words and phrases like: 'pulse oximetry' with 'checking ______ level'

oxygen Signup and view all the answers

Use phrases like 'we'll do a number of tests', rather than give an expectation of any ______ number.

specific Signup and view all the answers

After only one maneuver, the session grade will not be above a C, because the device requires a minimum of 3 acceptable, 2 ______ maneuvers in order to be considered a quality test.

reproducible Signup and view all the answers

As maneuvers continue, the ______ grade should increase.

letter Signup and view all the answers

A Medical Assistant focused on positive patient communication should never read what the machine says and convey this ______ - a more sensitive translation is necessary.

verbatim Signup and view all the answers

'Okay, great job! This time, try to blow out as much air as you possibly can in the first second, get it out as ______ as you can, and then continue to blow until the test is complete.'

fast Signup and view all the answers

After several maneuvers, it is not uncommon for a patient to doubt their physical ability to continue testing, and to ______ this.

verbalize Signup and view all the answers

After testing is complete, give positive ______ to the patient.

feedback Signup and view all the answers

Let the patient know that you will promptly present their results to the ______, and they will be in shortly to discuss those results.

physician Signup and view all the answers

The ordering provider will look at the spirogram results, including FVC and ______ results.

FEV1 Signup and view all the answers

Often times, it will provide direction on how to obtain a more accurate test, which the Medical ______ then relays to the patient.

Assistant Signup and view all the answers

Acceptability of each maneuver is determined by the ______.

spirometer Signup and view all the answers

Letting them hold equipment, or practice holding the ______ (even using as a pretend musical instrument) can create levity and encourage cooperation.

spirette Signup and view all the answers

The FVC test measures patient scores against reference values of healthy individuals with normal lung function based on age, sex, height, and ______.

ethnicity Signup and view all the answers

The FEV1, along with a ratio between the FEV1/FVC, are values ______ use to interpret results.

physicians Signup and view all the answers

For many patients, breathing out vigorously enough to produce acceptable maneuvers, and repeating this multiple times over a short period, can be utterly ______ and even painful.

exhausting Signup and view all the answers

Preparing them for what to expect will help in their experience, and giving clear ______ will produce higher quality maneuvers, resulting in less maneuvers needed to obtain results.

directions Signup and view all the answers

You can check for understanding by having them repeat back a ______ of your instructions.

summary Signup and view all the answers

Introduce yourself with a friendly greeting and a ______, explain what you are there to do, ask the patient if they've done this test before, what questions do you have?, etc.

smile Signup and view all the answers

Understanding this can help you navigate administering these tests with ______ and empathy.

compassion Signup and view all the answers

Peak Flows is the term for a very basic pulmonary function test which measures a patient's peak ______ flow rate.

expiratory Signup and view all the answers

The Peak Flows tests peak ______ flow rate, which is just the max inhale, then max, quick exhale.

expiratory Signup and view all the answers

The spirometry test will be performed for ______ testing in Lab.

competency Signup and view all the answers

The ______ will signal the completion of this maneuver (test), and will automatically assess its quality.

unit Signup and view all the answers

The Medical Assistant should ______ the device before giving complex instructions to complete FVC maneuvers.

prepare Signup and view all the answers

The patient should be instructed to complete three crucial steps for each ______: breath in as much air as possible, place teeth around the spirette, and blast out air as hard and fast as possible.

maneuver Signup and view all the answers

After exhalation for the first FVC spirometry test, the ______ will signal the completion of this maneuver.

unit Signup and view all the answers

The ______ of the test results is directly affected by the Medical Assistant's communication before and during the procedure.

accuracy Signup and view all the answers

Prepare the ______ before giving complex instructions to complete FVC maneuvers.

device Signup and view all the answers

Match the following medical terms with their simplified versions:

pulse oximetry = checking oxygen level spirometry = breathing test spirette = tube maneuver = test Signup and view all the answers

Match the following spirometer instructions with their warm translations:

'Breath out harder...' = 'Okay, great job! This time, try to blow out as much air as you possibly can in the first second, get it out as fast as you can, and then continue to blow until the test is complete.' 'Deeper breath...' = 'You’re doing well! For this next test, if it’s at all possible, I’d like you to try to take an even deeper breath in before blowing it all out. Puff up your chest and breathe all the way in, and when you think you can’t hold any more air, just take one last quick breath in, and then start blowing. Can you try this?' Signup and view all the answers

Match the following feedback from the testing device with their appropriate communication approach:

'Good job! Go again.' = Encourage the patient to repeat the test 'Blow out faster...' = Provide warm and constructive feedback Signup and view all the answers

Match the following spirometry graph components with their descriptions:

X-axis = Represents the flow of air Y-axis = Represents another parameter in the graph Signup and view all the answers

Match the following spirometry session grades with their corresponding explanations:

A = Grade that should increase as maneuvers continue C = Grade not exceeding after only one maneuver Signup and view all the answers

Match the following pulmonary function tests with their descriptions:

Peak Flows = Measures a patient's peak expiratory flow rate Spirometry = Tests for the maximum amount of air a patient can expel from their lungs Signup and view all the answers

Match the following instructions with the correct test:

Breath in as much air as possible, place teeth around the spirette, blast out air as hard and fast as possible = Spirometry Breathe in as much air into lungs as possible, bring mouthpiece to lips with a tight seal, blow out air as fast and hard as possible = Peak Flows Signup and view all the answers

Match the following devices with their respective pulmonary function tests:

Peak flow meter = Used in Peak Flows test Spirometer = Used in Spirometry test Signup and view all the answers

Match the following outcomes with the correct procedure:

Measures peak expiratory flow rate = Peak Flows Tests lung expelling capacity = Spirometry Signup and view all the answers

Match the following terms with their associated maneuver instructions:

Breath in as much air as you possibly can, place your teeth around the grooves of the spirette, blast out air as hard and fast as you can = Spirometry Breathe in as much air into lungs as possible, bring mouthpiece to lips with a tight seal, blow out air as fast and hard as possible = Peak Flows Signup and view all the answers

Match the following terms with their correct definitions:

Acceptable maneuver = Determined by the spirometer as a valid test result Reproducible maneuver = Two maneuvers similar enough to be repeated for increased test reliability Peak Flows test = Measures a patient's peak flow rate during quick exhale FEV1/FVC ratio = Values used by physicians to interpret spirometry results Signup and view all the answers

Match the following actions with their purpose during spirometry testing:

Coaching the patient = Guiding them through maneuvers for accurate results Connecting exhalation to familiar activities = Helping patients understand and perform the test better Introducing yourself with a friendly greeting = Creating a positive and empathetic testing environment Giving clear instructions on blowing out air forcefully = Ensuring accurate and reliable FEV1 values Signup and view all the answers

Match the following statements with their correct descriptions:

Pediatric lung function testing = Routinely used to aid in diagnosing asthma in patients aged 0-17 years Spirogram graph = Represents air flow over time during FVC testing Patient-centered care = Administering tests with compassion, empathy, and clear communication Pulse oximeter placement = Needs to be on an area where infrared light can penetrate skin for accurate readings Signup and view all the answers

Match the following components of spirometry interpretation with their significance:

FEV1 measurement = Amount of air expelled forcefully in the first second of FVC test Reference values comparison = Measuring patient scores against healthy individuals based on demographics Communication with patient = Directly affecting quality of spirometry results through clear instructions Completing acceptable maneuvers = Achieving a valid and reliable testing session Signup and view all the answers

Match the following tips for administering spirometry tests with their purposes:

Offering water after testing = Helps patients recover from potentially exhausting testing sessions Using levity during instruction = Creates a positive and cooperative testing environment Checking for patient understanding = Ensures patients can follow instructions correctly Describing procedure before instructing = Prepares patients for what to expect during the test Signup and view all the answers

Match the following abbreviations with their meanings:

SOB = Shortness of Breath COPD = Chronic Obstructive Pulmonary Disease FEV1 = Forced Expiratory Volume 1 FVC = Forced Vital Capacity Signup and view all the answers

Match the following terms with their descriptions:

Nebulizer = A small device turning liquid medication into vapor for inhalation Spirometry = A test measuring lung function by assessing how much air is inhaled and exhaled Albuterol = A bronchodilator used to treat obstruction in the lungs Pulse Oximeter = A device measuring oxygen saturation levels in the blood Signup and view all the answers

Match the following actions with their importance during spirometry testing:

Coaching and Encouraging = Helping patient produce acceptable maneuvers Clear Instructions = Producing higher quality maneuvers with less repetitions Checking on Patient = Ensuring no adverse effects during and after treatment Repeating Tests = Assessing effectiveness of treatment on breathing ability Signup and view all the answers

Match the following terms with their related procedures:

EMR Software = Documenting spirometry results, procedure administration, and charges Peak Flows Test = Measuring peak flow rate by inhaling then quickly exhaling Flow Volume Loop = Graphical representation of lung function over time Spirogram = Visual representation of lung volumes and capacities Signup and view all the answers

Match the following statements with their correct actions:

Giving Clear Expectations = Preparing patient for what to expect during testing Complete Documentation = Ensuring patient's full name, date of birth, and MA's name on each document page Placing Pulse Oximeter Properly = Accurately reading red blood cell oxygen saturation levels Translating Instructions = Encouraging patient to blow out air as hard and fast as possible Signup and view all the answers

Match the following feedback phrases with their purposes:

'Good job! Go again.' = Encouraging patient to perform multiple Peak Flows tests 'Okay, great job! This time...' = Encouraging patient to exhale forcefully during spirometry testing 'We’ll do a number of tests' = Avoiding setting specific expectations on the number of tests 'Deeper breath...' = Translating spirometer instructions to encourage specific actions Signup and view all the answers

Match the following terms with their correct definitions:

SOB = Shortness of breath Pulse Oximetry = Obtaining a patient's peripheral blood oxygen saturation level Spirometry = Procedure involving breathing in as much air as possible and then exhaling as hard and fast as possible FEV1 = Forced expiratory volume in one second Signup and view all the answers

Match the following actions with their purpose during pulmonary function testing:

Using a nose clip = Ensuring only air exhaled through the mouth is measured Placing pulse oximeter on finger = Measuring peripheral blood oxygen saturation level Instructing patient to blast out air = Ensuring maximal exhalation for accurate results Using a spirette = Guiding patient on how to breathe in and out during spirometry Signup and view all the answers

Match the following statements with the correct procedures during spirometry testing:

Breathing in as much air as possible = First crucial step for each spirometry maneuver Placing teeth around the spirette = Second crucial step for each spirometry maneuver Blasting out air as hard and fast as possible = Third crucial step for each spirometry maneuver Using dark nail polish color = May alter or prevent accurate pulse oximeter readings Signup and view all the answers

Match the following components with their role in interpreting spirometry results:

FEV1/FVC ratio = Value used to interpret spirometry results Pulse oximeter readings = Provide peripheral blood oxygen saturation level Spirette usage = Guides patient on how to perform correct breathing maneuvers Dark nail polish color = Can alter or prevent accurate pulse oximeter readings Signup and view all the answers

Match the following phrases with their purposes during pulmonary function testing:

'We'll do a number of tests' = Avoid setting specific expectations on the number of tests 'Deeper breath...' = Encourages taking a deeper breath during spirometry testing 'Good job! Go again.' = Example of feedback provided by testing device during spirometry 'Okay, great job! This time, try to blow out as much air as you possibly can...' = Encourages maximal exhalation during spirometry Signup and view all the answers

Match the following alternative sites with their purpose for pulse oximetry readings:

Toes = Alternative site to consider if finger is not suitable Earlobes = Alternative site to consider if finger is not suitable Forehead = Alternative site to consider if finger is not suitable Knee = Alternative site to consider if finger is not suitable Signup and view all the answers

Pulmonary Testing & Treatments Concept Overview

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Questions and Answers

What is the purpose of using a pulse oximeter on a patient's finger?

Which of the following factors could potentially alter or prevent accurate pulse oximeter readings?

What range is considered normal for peripheral blood oxygen saturation level?

Where else on the body can a pulse oximeter be placed if the finger is not suitable?

Which procedure in an office visit is likely to involve obtaining a patient's pulse oximetry reading?

What information does a pulse oximeter provide in addition to peripheral blood oxygen saturation level?

What is albuterol primarily used for?

How is albuterol typically administered for treatment?

What is the purpose of using a nebulizer in administering albuterol?

Why should patients be checked on regularly during albuterol treatment via nebulizer?

After albuterol treatment, what may a provider wish to repeat to assess its effectiveness?

What is the responsibility of a Medical Assistant in terms of documentation related to spirometry results?

How many acceptable and reproducible maneuvers must be obtained during spirometry testing?

What determines if a maneuver is acceptable or reproducible during spirometry testing?

What is the maximum number of maneuvers that should be performed in a single spirometry test session?

Why is coaching and encouraging the patient important during spirometry testing?

Which component of spirometry results is directly affected by the medical assistant's ability to communicate directions to the patient?

What is the purpose of connecting exhaling instructions to familiar activities for pediatric patients during spirometry testing?

Which axis on a spirometry graph represents the flow of air?

What does the FEV1 value measure in a spirometry test?

Which factors are used to determine reference values for interpreting spirometry results?

What can help a medical assistant navigate administering spirometry tests with compassion and empathy?

What is a recommended alternative phrase for 'pulse oximetry'?

How many acceptable and reproducible maneuvers are required for a quality test?

Which grade will a session not exceed after only one maneuver?

What is advised in the text when a patient doubts their physical ability to continue testing?

'Good job! Go again.' is an example of feedback provided by the testing device that should be:

What is the purpose of offering the patient some water after testing?

'Breath out harder...' from a spirometer's instructions should be translated to encourage:

'Deeper breath...' from a spirometer's instructions should be translated to encourage which action?

'We’ll do a number of tests' is preferred over giving an expectation of a specific number of tests because:

What communication approach is recommended for Medical Assistants during testing?

What is the purpose of pulmonary function testing (PFTs)?

What is the main purpose of the Peak Flows pulmonary function test?

What is the key difference between the Peak Flows and Spirometry pulmonary function tests?

What is the purpose of having the patient perform the Peak Flows test multiple times?

What is the key instruction given to the patient during the Spirometry test?

Why is the Medical Assistant's communication important during the Spirometry test?

What should the Medical Assistant do before giving instructions to the patient for the Spirometry test?

What is the purpose of the nose clip used during the Spirometry test?

What is the purpose of the spirette used during the Spirometry test?

A nebulizer is a small device which can turn albuterol, a liquid medication, into ______

The provider may wish to repeat pulse oximetry or pulmonary function testing to determine if treatment helped improve ______ ability

The Medical Assistant must ensure a copy of spirometry results is scanned and imported into the patient’s ______, if not done automatically

Spirograms may be printed on paper or electronically sent to the corresponding patient’s ______

Most EMR software will have unique workflows on how to document spirometry results, procedure administration, and ______

It is the Medical Assistant’s responsibility to ensure complete documentation, including patient’s full name, date of birth, and the MA’s name and ______ on each document’s page

Many patients will come to an office visit with ______ as a primary symptom.

The pulse oximeter will need to be placed on an area of the body where the infrared light can ______ the skin to accurately read the percentage of red blood cells which are carrying oxygen molecules.

A normal peripheral blood oxygen saturation level ______ from 95-100%.

Pulse oximeter devices also read a patient's ______, but may not determine presence of pulse irregularities.

The ______ can potentially alter or prevent accurate pulse oximeter readings.

Toes and ______ are alternative sites to consider for pulse oximetry.

Avoid using medical language that can be difficult to understand. Try replacing words and phrases like: 'pulse oximetry' with 'checking ______ level'

Use phrases like 'we'll do a number of tests', rather than give an expectation of any ______ number.

After only one maneuver, the session grade will not be above a C, because the device requires a minimum of 3 acceptable, 2 ______ maneuvers in order to be considered a quality test.

As maneuvers continue, the ______ grade should increase.

A Medical Assistant focused on positive patient communication should never read what the machine says and convey this ______ - a more sensitive translation is necessary.

'Okay, great job! This time, try to blow out as much air as you possibly can in the first second, get it out as ______ as you can, and then continue to blow until the test is complete.'

After several maneuvers, it is not uncommon for a patient to doubt their physical ability to continue testing, and to ______ this.

After testing is complete, give positive ______ to the patient.

Let the patient know that you will promptly present their results to the ______, and they will be in shortly to discuss those results.

The ordering provider will look at the spirogram results, including FVC and ______ results.

Often times, it will provide direction on how to obtain a more accurate test, which the Medical ______ then relays to the patient.

Acceptability of each maneuver is determined by the ______.

Letting them hold equipment, or practice holding the ______ (even using as a pretend musical instrument) can create levity and encourage cooperation.

The FVC test measures patient scores against reference values of healthy individuals with normal lung function based on age, sex, height, and ______.

The FEV1, along with a ratio between the FEV1/FVC, are values ______ use to interpret results.

For many patients, breathing out vigorously enough to produce acceptable maneuvers, and repeating this multiple times over a short period, can be utterly ______ and even painful.

Preparing them for what to expect will help in their experience, and giving clear ______ will produce higher quality maneuvers, resulting in less maneuvers needed to obtain results.

You can check for understanding by having them repeat back a ______ of your instructions.

Introduce yourself with a friendly greeting and a ______, explain what you are there to do, ask the patient if they've done this test before, what questions do you have?, etc.

Understanding this can help you navigate administering these tests with ______ and empathy.

Peak Flows is the term for a very basic pulmonary function test which measures a patient's peak ______ flow rate.

The Peak Flows tests peak ______ flow rate, which is just the max inhale, then max, quick exhale.

The spirometry test will be performed for ______ testing in Lab.