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A 68-year-old with a history of COPD is breathing spontaneously on a 4 L/min nasal cannula. ABG: pH 7.31, PaCO₂ 61 mmHg, HCO₃⁻ 30 mEq/L, PaO₂ 58 mmHg. The patient is awake, mildly drowsy, and using accessory muscles. What is the most appropriate next action?
What the full bank covers
Aligned with the NBRC content outlinePatient Assessment
History, physical exam, and interpreting the patient record.
ABGs & Acid-Base
Blood gas sampling and acid-base interpretation.
Pulmonary Diagnostics
PFTs, imaging, and recommending diagnostic procedures.
Airway Management
Artificial airways, suctioning, and airway clearance.
Oxygen Therapy
Oxygen devices, titration, and specialty gases.
Mechanical Ventilation
Modes, settings, waveforms, and ventilator management.
Respiratory Pharmacology
Bronchodilators, steroids, and specialty medications.
Disease Management
Care-plan modifications and evidence-based practice.
Critical Care
High-acuity respiratory support and monitoring.
Emergency Respiratory Care
High-risk situations, codes, and rapid response.
Equipment & Troubleshooting
Assemble, troubleshoot, and quality-control devices.
Education & Safety
Patient/family education and infection prevention.
Practice every respiratory-care area
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