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Your patient is a 55 year old man with a history of chronic bronchitis. You have been called to his home today because of an increase in his level of respiratory distress. The patient is on 2 liter per minute of oxygen by nasal cannula at home. Your assessment reveals difficulty speaking due to shortness of breath, leaning forward to breathe, a productive cough and a respiratory of 32 per minute. Which of the following is true concerning the best course of action for this patient?

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