A client with acute respiratory distress syndrome (ARDS) is on a ventilator. The client's peak inspiratory pressures and spontaneous respiratory rate are increasing, and the PO2 is not improving....

A client with acute respiratory distress syndrome (ARDS) is on a ventilator. The client's peak inspiratory pressures and spontaneous respiratory rate are increasing, and the PO2 is not improving. Using the SBAR (SituationBackground-Assessment-Recommendation) technique for communication, the nurse calls the physician with the recommendation for:

1. Initiating IV sedation.

2. Starting a high-protein diet.

3. Providing pain medication.

4. Increasing the ventilator rate.