EDAPT Nursing Care: Complex Oxygenation Alterations –
(Mechanical Ventilation, Oxygen Delivery Devices,
Respiratory Failure & Nursing Priorities)Verified
Questions Provided with A+ Graded Rationales Latest
Updated 2026
Which communication methods are used to interact with an alert client who is intubated and
requires mechanical ventilation? Select all that apply.
Asking yes or no questions
Writing notes with pen and paper
Communication board
The nurse is assessing a client with end-stage emphysema. The client is receiving oxygen at 5
L/min by nasal cannula. Which finding is most concerning to the nurse?
Respiratory rate of 8 breaths/minute
The nurse is caring for clients on a respiratory unit. Which client should the nurse assess first?
A client with asthma who reports shortness of breath after using an inhaled bronchodilator.
The nurse is caring for a client with acute respiratory failure. For each nursing action in the left
column, click to specify which step of the nursing process is completed. Select only one answer
for each row.
Assessment:
Observe the client and the surrounding environment.
Analysis/Diagnosis:
Identify the client's clinical problems.
Investigate the causes contributing to the client's cough.
Planning:
Identify achievable goals to improve oxygenation.
Implementation:
Contact respiratory therapy to administer oxygen therapy.
Provide oral care every 2 hours.
,Evaluation:
Determine improvement in lung sounds after administration of albuterol.
What are potential respiratory complications the nurse should recognize when caring for an
older adult? Select all that apply.
Pneumonia
Aspiration
For each situation in the left column, which oxygen delivery device would be used to best meet
the client's needs? Select one oxygen delivery device for each example.
BiPAP:
Client has severe sleep apnea and snores.
OPA:
Client is unresponsive and not maintaining an airway making bag-valve-mask ventilation
difficult.
ETT:
Client is having a knee replacement under general anesthesia.
LMA:
Client has neck trauma after a motor vehicle accident (MVA) and has stopped breathing.
Several clients are unable to communicate verbally due to their oxygen equipment. Which
communication methods are appropriate to meet each client's communication needs?
Paper and Pencil:
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who uses a bilevel positive airway pressure (BiPAP) device continuously and has severe
hearing impairment.
Client who is on a ventilator and receiving narcotic analgesics for pain.
Picture Board:
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who uses a bilevel positive airway pressure (BiPAP) device continuously and has severe
hearing impairment.
Client who is intubated, on a ventilator, unable to read or write, cognitive function is at 6- to 8-
years-old, and is alert and cooperative.
, Client who is on a ventilator and receiving narcotic analgesics for pain.
Yes/No Questions:
Client who has a tracheostomy, is on a ventilator, and is blind.
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who is intubated, on a ventilator, unable to read or write, cognitive function is at 6- to 8-
years-old, and is alert and cooperative.
Client who is on a ventilator and receiving narcotic analgesics for pain.
A nurse is caring for an older adult client with pneumonia experiencing dyspnea. Vital signs:
Blood pressure 148/90, heart rate 122, respiratory rate 30, and SpO2 is 88% on room air. Review
the nursing actions and match them with the appropriate rationale.
Place the client in a semi-Fowler's position:
Provide expansion of the lungs and facilitates deeper breaths.
Monitor client's behavior and mental status:
Recognize altered cerebral function due to acute hypoxia.
Encourage deep breathing and coughing exercises:
Mobilize and clear lung secretions.
Monitor respiratory rate, breathing pattern, and SpO2:
Identify worsening or improving gas exchange and need for further nursing actions.
Administer oxygen therapy and prescribed bronchdilators as needed:
Support the oxygenation needs of the client.
Monitor blood pressure, heart rate, and temperature:
Identify the onset of sepsis, fluid imbalance, and arrhythmias
The nurse on a step-down unit is working with a 51-year-old client with asthma who reports
shortness of breath after the last dose of a prescribed bronchodilator inhaler. Review the
client's electronic health record (EHR) and then answer the question.
Review the nurses' notes and the client's vital signs. Select the three findings that require
immediate follow-up by the nurse.
(Mechanical Ventilation, Oxygen Delivery Devices,
Respiratory Failure & Nursing Priorities)Verified
Questions Provided with A+ Graded Rationales Latest
Updated 2026
Which communication methods are used to interact with an alert client who is intubated and
requires mechanical ventilation? Select all that apply.
Asking yes or no questions
Writing notes with pen and paper
Communication board
The nurse is assessing a client with end-stage emphysema. The client is receiving oxygen at 5
L/min by nasal cannula. Which finding is most concerning to the nurse?
Respiratory rate of 8 breaths/minute
The nurse is caring for clients on a respiratory unit. Which client should the nurse assess first?
A client with asthma who reports shortness of breath after using an inhaled bronchodilator.
The nurse is caring for a client with acute respiratory failure. For each nursing action in the left
column, click to specify which step of the nursing process is completed. Select only one answer
for each row.
Assessment:
Observe the client and the surrounding environment.
Analysis/Diagnosis:
Identify the client's clinical problems.
Investigate the causes contributing to the client's cough.
Planning:
Identify achievable goals to improve oxygenation.
Implementation:
Contact respiratory therapy to administer oxygen therapy.
Provide oral care every 2 hours.
,Evaluation:
Determine improvement in lung sounds after administration of albuterol.
What are potential respiratory complications the nurse should recognize when caring for an
older adult? Select all that apply.
Pneumonia
Aspiration
For each situation in the left column, which oxygen delivery device would be used to best meet
the client's needs? Select one oxygen delivery device for each example.
BiPAP:
Client has severe sleep apnea and snores.
OPA:
Client is unresponsive and not maintaining an airway making bag-valve-mask ventilation
difficult.
ETT:
Client is having a knee replacement under general anesthesia.
LMA:
Client has neck trauma after a motor vehicle accident (MVA) and has stopped breathing.
Several clients are unable to communicate verbally due to their oxygen equipment. Which
communication methods are appropriate to meet each client's communication needs?
Paper and Pencil:
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who uses a bilevel positive airway pressure (BiPAP) device continuously and has severe
hearing impairment.
Client who is on a ventilator and receiving narcotic analgesics for pain.
Picture Board:
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who uses a bilevel positive airway pressure (BiPAP) device continuously and has severe
hearing impairment.
Client who is intubated, on a ventilator, unable to read or write, cognitive function is at 6- to 8-
years-old, and is alert and cooperative.
, Client who is on a ventilator and receiving narcotic analgesics for pain.
Yes/No Questions:
Client who has a tracheostomy, is on a ventilator, and is blind.
Client who is intubated, on a ventilator, alert and oriented, and can read and write.
Client who is intubated, on a ventilator, unable to read or write, cognitive function is at 6- to 8-
years-old, and is alert and cooperative.
Client who is on a ventilator and receiving narcotic analgesics for pain.
A nurse is caring for an older adult client with pneumonia experiencing dyspnea. Vital signs:
Blood pressure 148/90, heart rate 122, respiratory rate 30, and SpO2 is 88% on room air. Review
the nursing actions and match them with the appropriate rationale.
Place the client in a semi-Fowler's position:
Provide expansion of the lungs and facilitates deeper breaths.
Monitor client's behavior and mental status:
Recognize altered cerebral function due to acute hypoxia.
Encourage deep breathing and coughing exercises:
Mobilize and clear lung secretions.
Monitor respiratory rate, breathing pattern, and SpO2:
Identify worsening or improving gas exchange and need for further nursing actions.
Administer oxygen therapy and prescribed bronchdilators as needed:
Support the oxygenation needs of the client.
Monitor blood pressure, heart rate, and temperature:
Identify the onset of sepsis, fluid imbalance, and arrhythmias
The nurse on a step-down unit is working with a 51-year-old client with asthma who reports
shortness of breath after the last dose of a prescribed bronchodilator inhaler. Review the
client's electronic health record (EHR) and then answer the question.
Review the nurses' notes and the client's vital signs. Select the three findings that require
immediate follow-up by the nurse.
