A 68-year-old with end-stage COPD presents with severe dyspn…

A 68-year-old with end-stage COPD presents with severe dyspnea and worsening confusion. ABG: pH 7.26, PaCO₂ 72 mm Hg, PaO₂ 50 mm Hg on 2 L NC. The patient is tachypneic (RR 34), using accessory muscles, and has copious secretions. He vomited once in triage. Which intervention is most appropriate to prevent further respiratory decompensation?

A client with known dilated cardiomyopathy is admitted for w…

A client with known dilated cardiomyopathy is admitted for worsening heart failure. Current assessment findings: BP 102/66 mmHg HR 118, RR 28 SpO₂ 88% on 2 L nasal cannula New S₃ heart sound Bibasilar crackles with pink frothy sputum Fatigue and 1+ pedal edema Which finding indicates acute cardiogenic pulmonary edema requiring immediate intervention?

A 63-year-old with severe pneumonia is intubated after faili…

A 63-year-old with severe pneumonia is intubated after failing high-flow oxygen. Immediately after intubation: SpO₂ 89% Breath sounds absent on the left, present on the right End-tidal CO₂ waveform present Condensation visible in the tube Which action should the nurse perform first?

A 13-year-old child with type 1 diabetes mellitus presents t…

A 13-year-old child with type 1 diabetes mellitus presents to the clinic for a routine follow-up. The nurse reviews the child’s laboratory results and notes the hemoglobin A1c (HgbA1c) is 10.2%. The child’s parent states, “We check blood sugars sometimes, and they are usually okay.” What is the nurse’s best response?