A 68-year-old patient with acute respiratory distress syndro…

A 68-year-old patient with acute respiratory distress syndrome (ARDS) is on mechanical ventilation with the following settings: Mode: Assist-Control (AC) Tidal Volume (VT): 400 mL Respiratory Rate (RR): 14 breaths per minute FiO2: 1.0 (100%) PEEP: 10 cm H2O Peak Inspiratory Pressure: 45 cm H2O The most recent arterial blood gases (ABG) show: pH: 7.30 PaCO2: 62 mm Hg PaO2: 72 mm Hg HCO3: 30 mEq/L SaO2: 92% Given these results, which of the following is the priority nursing action?

A 32-year-old patient with acute respiratory distress syndro…

A 32-year-old patient with acute respiratory distress syndrome (ARDS) is mechanically ventilated with the following settings: Mode: Assist-Control (AC) Tidal Volume (VT): 450 mL Respiratory Rate (RR): 18 breaths per minute FiO2: 0.80 (80%) PEEP: 12 cm H2O Peak inspiratory pressure: 40 cm H2O The patient’s most recent arterial blood gases (ABGs) show the following: pH: 7.28 PaCO2: 56 mm Hg PaO2: 65 mm Hg HCO3: 28 mEq/L SaO2: 90% Which of the following interventions would the nurse anticipate to improve this patient’s oxygenation and ventilation?