A 70-year-old male patient with chronic renal failure due to a 15-year history of uncontrolled hypertension arrived at the Emergency Department today with new onset of lethargy, confusion, diarrhea, and w

A 70-year-old male patient with chronic renal failure due to a 15-year history of uncontrolled hypertension arrived at the Emergency Department today with new onset of lethargy, confusion, diarrhea, and weakness. He has no other medical history. His arterial blood gas results were pH 7.30 (low), PaCO₂ 35 mmHg (normal), HCO₃⁻ 16 mEq/L (low), PaO₂ 90 mmHg (normal). His vital signs are blood pressure 148/90, pulse 72, respirations 32 and with increased depth. He was admitted to the hospital this evening with a diagnosis of metabolic acidosis and renal failure.

Which actions would the nurse include in the plan of care at this time? explain your rationale for why you chose to include or not include each action. 

A. Safety precautions

B. Intravenous access

C. Oxygen supplementation

D. High protein diet

E. Consult with physical therapy

F. Pain control

G. Blood sugar checks AC and HS

H. Monitor serum CO₂ level