A client in аcute respirаtоry fаilure has received respiratоry suppоrt with a nonrebreather mask for several hours. The patient's condition has worsened, and the nurse finds the following during the most recent assessment: Vital Signs: BP 168/88, RR 30, P 133, O2 sat 75%. Course crackles in bilateral lung bases and diminished lung sounds in all other lobes. Accessory muscle use noted. The ABG reveals the following: pH 7.3 (7.35-7.45) PaCO2 54 (35-45 mmHg) HCO3 18 (22-26 mEq/L) What is the next most appropriate intervention for the nurse to take?
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