Assignment task:
The nurse is caring for a client admitted for pneumonia, sepsis, and acute respiratory distress syndrome. The client does not follow commands, and is becoming more agitated and confused despite having oxygen via nonrebreather at 15 L/min. Based on this assessment, an arterial blood gas is drawn: pH= 7.21, CO2= 58, O2= 59, HCO3= 19. What is the priority nursing action? The nurse is caring for a client admitted for pneumonia, sepsis, and acute respiratory distress syndrome. The client does not follow commands, and is becoming more agitated and confused despite having oxygen via nonrebreather at 15 L/min. Based on this assessment, an arterial blood gas is drawn: pH= 7.21, CO2= 58, O2= 59, HCO3= 19. What is the priority nursing action? Notify healthcare provider, prepare for BiPAP Administer oxygen via nonrebreather at 25 L/min Administer normal saline (0.9%) 1L IV bolus Notify healthcare provider, prepare for intubation