AACN ACNPC-AG Practice Questions - AACN Acute Care Adult-Gerontology Nurse Practitioner Certification (ACNPC-AG) Exam

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An ACNP is interpreting an ABG on a patient with COPD exacerbation: pH 7.28, PaCO2 72, PaO2 58, HCO3 33, on 2 L NC. The patient is somnolent but arousable, with accessory muscle use. What is the most appropriate intervention?

Initiate noninvasive positive pressure ventilation (BiPAP) Increase oxygen to 6 L NC and recheck ABG in 30 minutes Intubate immediately for airway protection Administer IV bicarbonate to correct acidemia

Correct Answer:

Initiate noninvasive positive pressure ventilation (BiPAP)

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