28. A patient with chronic obstructive pulmonary disease (COPD) develops acute respiratory failure with hypercapnia and hypoxemia. What is the critical clinical urgency in managing this patient?

  • Administering high-flow oxygen.
  • Initiating non-invasive positive pressure ventilation (NIPPV) or mechanical ventilation.
  • Encouraging deep breathing exercises.
  • Prescribing oral antibiotics.
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