A 68-year-old client presents to the emergency department from an assisted care facility with fever,

A 68-year-old client presents to the emergency department from an assisted care facility with fever, shivering, dyspnea, crackles, and poor response to oxygen therapy. Three days before arrival, the client was diagnosed with bacterial pneumonia and treated with fluids, intravenous antibiotics, and supportive oxygen therapy. The client has a history of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA). ​ Based on the client’s history, diffuse infiltrates on chest radiograph, and arterial blood gas analysis (see chart below), the nurse practitioner (NP) diagnoses the client with

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