A nurse in a pulmonology clinic is preparing a client for spirometry testing. Which question should the nurse ask the client during the preparation for this test?

"Are you allergic to shellfish?"

"Do you have any metal implants in your body?"

"Have you taken any bronchodilators today?"

"Are you claustrophobic?"

Answer and Explanation

The Correct Answer is C

. Shellfish allergies are related to potential reactions to iodinated contrast media used in imaging studies, such as CT scans, rather than to spirometry. Spirometry does not involve contrast media or shellfish, so this question is not pertinent for this test.
B.A Metal implants are typically a concern for imaging tests like MRI, which involve strong magnetic fields. Spirometry, however, does not involve any imaging or use of magnetic fields, so metal implants do not affect spirometry results. Thus, this question is not relevant for spirometry preparation.
C. This is a relevant question for spirometry testing. Bronchodilators are medications used to open the airways and improve breathing. They can affect spirometry results if taken shortly before the test. For accurate assessment, the nurse needs to know if the client has used any bronchodilators, as they might need to adjust the testing protocol or account for the medication's effects on lung function.
D. Spirometry does not typically involve enclosed spaces that would trigger claustrophobia, as it is a breathing test usually performed with the client sitting comfortably in an open space. Claustrophobia is more relevant to imaging studies like MRIs or CT scans, where the client might be in a confined space.

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Correct Answer is B

Explanation

A. Canned tomato soup is often high in sodium, and grilled cheese sandwiches typically contain processed cheese, which is also high in sodium.
B. A low-sodium diet is essential for managing heart failure as it helps to reduce fluid retention and decrease the workload on the heart.
C. Frozen lasagna, especially those with a tomato sauce, can be high in sodium. Caesar salad dressing is often made with anchovies and Parmesan cheese, both of which are high in sodium.
D. Deli meats and processed cheese are both high in sodium and should be avoided or consumed in moderation on a low-sodium diet.

A. "The sputum I have been coughing up is pink." B. "I feel short of breath when I lie down flat." C. "The nurse I had yesterday said she could hear fluid in my lungs." D. "Both of my legs are so swollen."

Correct Answer is D

Explanation

A. Pink, frothy sputum is typically associated with left-sided heart failure and pulmonary edema. This occurs when fluid backs up into the lungs due to left-sided heart failure. Since the question pertains to right-sided heart failure, this statement is not consistent with that condition.

B. Feeling short of breath when lying flat is known as orthopnea and is more commonly associated with left-sided heart failure. It occurs due to fluid shifting into the lungs when supine, which aggravates pulmonary congestion. This statement is not consistent with right-sided heart failure.
C. Hearing fluid in the lungs typically indicates left-sided heart failure, where fluid backs up into the pulmonary circulation, causing pulmonary edema. This symptom is associated with left-sided heart failure rather than right-sided heart failure.
D. Swelling of the legs, also known as peripheral edema, is a hallmark of right-sided heart failure. This occurs because the right side of the heart is unable to effectively pump blood out to the lungs, leading to fluid accumulation in the systemic venous circulation and resulting in swelling in the lower extremities and sometimes the abdomen

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A nurse in a pulmonology clinic is preparing a client for spirometry testing. Which question should the nurse ask the client during the preparation for this test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the importance of following a low-sodium diet with a client who has heart failure. Which of the following food items would be appropriate for this patient to choose?

Correct Answer is B

Explanation

The nurse is performing an admission assessment on a client who is being admitted for right- sided heart failure. Which statement made by the patient would be consistent with right-sided heart failure?

Correct Answer is D

Explanation

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