A client with pneumonia is transferred from the medical unit to the intensive care unit due to sepsis and worsening respiratory failure. Based on the nurse's progress note, which assessment data are most important for the nurse to report to the health care provider (HCP)? Click on the exhibit button for additional information

Exhibit Display

Progress notes 1845 Productive cough of large amount of tan mucus, scattered rhonchi, and crackles in bases.

Arterial blood gas (ABG) results: PaCO2 35 mm Hg, PaO2 90 mm Hg on nasal oxygen at 6L/min.

Temperature 101.1 F (38.3 C).

On vancomycin for 2 days. RN

1945 Repeat ABG: PaCO2 33 mm Hg. PaO2 89 mm Hy on 50% oxygen via face mask.  RN

2045 Repeat ABG: PaCO₂ 32 mm Hg. PaO, 86 mm Hg on 100% oxygen via total rebreather mask  RN