On admission, a patient presents as follows: ph, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; pao2, 66 mm hg; heart rate, 112 beats/min, sinus tachycardia; paco2, 52 mm hg; blood pressure, 110/68 mm hg; hco3–, 24 meq/l; and spo2, 90% on o2 2 l/min nasal cannula. what treatment would the physician or nurse practitioner likely order for this patient?
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