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NCLEX-RN
Physiological Integrity

Acute Respiratory Distress Management in COPD

Very Hard Physiological Adaptation Medical Emergencies

A 60-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) is brought to the emergency department (ED) by ambulance for acute respiratory distress. The paramedics report that he was found in respiratory failure at home, requiring positive pressure ventilation en route. Upon arrival, he is hypoxic, with an oxygen saturation of 85% on a non-rebreather mask, and exhibits severe wheezing and use of accessory muscles for breathing.

The healthcare team initiates a rapid assessment and recognizes that he is at risk for developing complications associated with respiratory failure. Which of the following interventions should the nurse prioritize to prevent further deterioration of this patient's respiratory status?

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% Correct93%