A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

"I will run on a treadmill during this test."

"I will be given contrast dye during this test."

"I might have to wear a nose clip during this test."

"I might have a tube inserted into my airway during this test."

Answer and Explanation

The Correct Answer is C

A. The pulmonary function test does not typically involve running on a treadmill; that statement indicates a misunderstanding of the test.

B. Contrast dye is not used in pulmonary function tests; this reflects a lack of understanding of the procedure.

C. Wearing a nose clip is a common practice during pulmonary function tests to ensure that the client breathes only through the mouth, indicating the client understands the procedure.

D. Inserting a tube into the airway is not a standard part of pulmonary function tests, and this statement shows a misunderstanding of the procedure.

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Correct Answer is D

Explanation

A. While cleansing the periurethral area is important, antiseptic cleaning solutions may not be necessary and could lead to irritation. Standard soap and water are often sufficient.

B. Routine catheter irrigation is not recommended and can increase the risk of infection. Catheters should be managed without unnecessary interventions.

C. Limiting indwelling urinary catheter usage is a good practice, but the protocol should focus on maintaining the catheter system rather than a specific time frame for removal.

D. Maintaining a closed system, ensuring connections are sealed securely, is critical in preventing urinary tract infections (UTIs) as it minimizes the risk of pathogens entering the urinary tract.

A. Meet with nursing staff to review the policy regarding advance directives. B. Reinforce the potential consequences of not having this information on record to the nursing staff. C. Ask nurses who are caring for clients without this information in the medical record to obtain it. D. Remind nurses to obtain this information during the admission process.

Correct Answer is A

Explanation

A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.

B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.

C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.

D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.

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A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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