Renee is rooming Carl Bowden. He is here today for a recheck appointment. He was diagnosed 10 days ago with pneumonia. As Renee is gathering Carl's history, he tells her that he has smoked two packs a day for the past 30 years. He also states that he has had pneumonia six times over the past 2 years. He asks Renee how smoking may impact his spirometry test ordered by the physician. Thinking back to the respiratory structures and functions and spirometry testing you have learned about in this module, how would you answer his question?