A 70-year-old with severe COPD presents with worsening dyspn…

A 70-year-old with severe COPD presents with worsening dyspnea and lethargy. ABG: pH 7.29, PaCO₂ 66 mmHg, PaO₂ 58 mmHg on 3 L nasal cannula. The patient is drowsy but arousable and protecting their airway. There is no facial trauma and minimal secretions.   Which intervention is most appropriate at this time?

A 70-year-old with chronic systolic heart failure presents w…

A 70-year-old with chronic systolic heart failure presents with acute respiratory distress. Findings: RR 36/min, SpO₂ 80% on room air, BP 170/94, crackles to mid-lung fields, pink frothy sputum, S3 present. The client is anxious and speaking in single words.   What is the nurse’s priority action?