You are responding to a 54-year-old female patient in respiratory distress. the patient is on home oxygen by nasal cannula at 11pm. the patient has diminished lung sounds bilaterally with wheezes. she appears malnourished and has a barrel chest. the patient is alert and oriented to time, place, and person. her vital signs are blood pressure of 150/70, pulse of 90, respiratory rate of 24, and oxygen saturation of 92 percent. the patient is on several medications including an albuterol inhaler. after you perform your primary assessment, what should be your next step