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EDAPT: Nursing Care: Complex
Oxygenation Alterations Questions and
Answers Latest Update
Which communication methods are used to interact with an alert client who
is intubated and requires mechanical ventilation? Select all that apply. Ans:
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? Ans: Respiratory rate of 8 breaths/minute
The nurse is caring for clients on a respiratory unit. Which client should the
nurse assess first? Ans: 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. Ans:
Assessment:
Observe the client and the surrounding environment.
Analysis/Diagnosis:
Identify the client's clinical problems.
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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. Ans: 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. Ans: 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.
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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? Ans: 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.
© 2025 All rights reserved
EDAPT: Nursing Care: Complex
Oxygenation Alterations Questions and
Answers Latest Update
Which communication methods are used to interact with an alert client who
is intubated and requires mechanical ventilation? Select all that apply. Ans:
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? Ans: Respiratory rate of 8 breaths/minute
The nurse is caring for clients on a respiratory unit. Which client should the
nurse assess first? Ans: 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. Ans:
Assessment:
Observe the client and the surrounding environment.
Analysis/Diagnosis:
Identify the client's clinical problems.
© 2025 All rights reserved
, 2 | Page
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. Ans: 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. Ans: 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.
© 2025 All rights reserved
, 3 | Page
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? Ans: 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.
© 2025 All rights reserved
