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 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."

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

Answer and Explanation

The Correct Answer is B

Choice A Reason:
"I will be given contrast dye during this test." This statement is incorrect. Pulmonary function tests typically do not involve the use of contrast dye, as they focus on measuring lung function rather than visualizing anatomical structures.
Choice B Reason:
"I might have to wear a nose clip during this test." This statement is correct. Nose clips are commonly used during pulmonary function tests to ensure that air is only breathed in and out through the mouth, allowing for accurate measurement of lung function parameters.
Choice C Reason:
"I might have a tube inserted into my airway during this test." This statement is incorrect. While this statement reflects a potential misunderstanding or confusion about the procedure, it is not typically the case for a routine pulmonary function test. Invasive procedures such as bronchoscopy may involve inserting a tube into the airway, but it is not part of a standard pulmonary function test.
Choice D Reason:
"I will run on a treadmill during this test." This statement is incorrect. Pulmonary function tests do not involve physical exercise like running on a treadmill. Instead, they typically involve breathing maneuvers and measurements to assess lung function.

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Correct Answer is B

Explanation

Choice A Reason:
"I will have a nurse witness the signing of my living will." This statement is incorrect. While having a witness present during the signing of a living will is important for validity in some jurisdictions, the statement alone does not demonstrate an understanding of advance directives. It's essential to ensure that the client comprehends the purpose and content of the document, not just the procedural aspect.
Choice B Reason:
"I can make changes to my living will even after I sign it." This statement is correct. Understanding that living wills can be revised or updated as needed reflects comprehension of the flexibility and control that advance directives provide. It's crucial for clients to know that they can make changes to their directives if their preferences or circumstances change.
Choice C Reason:
"I should choose a family member as my health care proxy." This statement is incorrect. While selecting a family member as a health care proxy is a common choice, it may not necessarily indicate an understanding of advance directives. The key aspect is that the client understands the role of the health care proxy and chooses someone who can make decisions aligned with their wishes.
Choice D Reason:
"I need to have my attorney review my advance directives." This statement is incorrect. While it can be beneficial to have an attorney review advance directives for legal clarity and compliance with state laws, it is not a requirement for their validity. The statement alone does not demonstrate understanding of advance directives.

A. "I will have a client who is on airborne precautions wear a mask when out of her room." B. "I will place a client who has compromised immunity in a negative-pressure airflow room." C. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions." D. "I will wear an N95 respirator mask when caring for a client who is on droplet precautions."

Correct Answer is A

Explanation

Choice A Reason:
Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.

Choice B Reason:
A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client. Negative-pressure rooms are used for clients with airborne infectious diseases to prevent the spread of pathogens to other areas.

Choice C Reason:
Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.

Choice D Reason:
An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

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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

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