A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply)

Correct Answer: B

Rationale: The correct answer is B because it communicates important information to the respiratory therapist regarding the client's readiness for the PFTs. Going down to radiology indicates the client is prepared for the examination, which ensures the test can be conducted smoothly. Rationale: A: Holding the client's morning bronchodilator medication may impact test results, but this information is more relevant for the healthcare provider interpreting the results, not the respiratory therapist conducting the test. C: Physical therapy's statement about running on a treadmill is irrelevant to the PFTs and does not impact the collaboration between the nurse and respiratory therapist. D: Advising the client not to smoke for 6 hours prior to the test is important for accurate results, but this information is more pertinent for the client and healthcare provider interpreting the results, not the respiratory therapist conducting the test.

Correct Answer: A

Rationale: Rationale for Correct Answer A: 1. Shaking the inhaler well before use helps ensure proper mixing of the medication. 2. This action helps to distribute the medication evenly for effective delivery. 3. It prevents clogging and ensures the client receives the correct dose. 4. Shake-and-use approach is essential for optimal therapeutic benefits. Summary of Incorrect Choices: B: Inhaling rapidly may lead to improper medication delivery and increase the risk of side effects. C: Administering medication while lying down may not allow the client to inhale the medication effectively. D: Holding the inhaler too far away can result in decreased medication intake and reduced efficacy.

Correct Answer: C

Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.

Correct Answer: C

Rationale: The correct answer is C: Pursed-lip breathing. In emphysema, air becomes trapped in the lungs due to damaged air sacs, making it difficult to exhale. Pursed-lip breathing helps to prolong exhalation, preventing air trapping. Decreased chest expansion (A) is more indicative of conditions like pleural effusion. Cyanosis (B) is a sign of inadequate oxygenation, which is not a primary manifestation of emphysema. Bradypnea (D) refers to slow breathing rate, which is not typically associated with emphysema. Pursed-lip breathing is a characteristic and effective coping mechanism seen in clients with emphysema.

Correct Answer: D

Rationale: The correct answer is D: Silent chest. This finding indicates severe airway obstruction and impending respiratory failure, requiring immediate intervention to prevent respiratory arrest. Silent chest means minimal or absent breath sounds, suggesting no air movement, which is a critical emergency situation. Wheezing (A), increased respiratory rate (B), and use of accessory muscles (C) are common in asthma attacks but do not indicate as severe a condition as a silent chest. Monitoring and addressing a silent chest promptly is crucial in managing acute asthma exacerbations.