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A nursing care plan for impaired gas exchange related to inadequate surfactant levels should focus on optimizing oxygenation and ventilation. Interventions may include administering supplemental oxygen, positioning the patient to enhance lung expansion (e.g., high Fowler's position), and monitoring vital signs and oxygen saturation closely. Collaborating with the healthcare team to assess the need for surfactant replacement therapy or mechanical ventilation may also be necessary. Regular assessment of respiratory status and patient response to interventions is crucial to ensure effective management.

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