The patient with intractable vomiting whose respiratory rate is 10 breaths per minute is exhibiting signs of metabolic alkalosis due to depletion of gastric contents. The patient is also at risk for life-threatening electrolyte imbalances and should be taken to the ICU for further management. The patient with cirrhosis of the liver who exhibits worsening confusion is exhibiting signs of hepatic encephalopathy. The patient should receive lactulose but does not necessarily require escalated care. The patient receiving furosemide whose telemetry monitor shows ST segment depression is showing signs of hypokalemia related to frequent dosing of a potassium-depleting diuretic; decreasing the dose or providing potassium supplementation is an appropriate initial treatment. The patient with asthma exacerbation who requires hourly use of an albuterol inhaler may need escalated care, however, the answer choice does not indicate if the patient is worsening or showing signs of decompensation.