If the question is misphrased due to my lack of knowledge please let me know. Also, if documention already exists, then please link. I couldn’t find anything online.
In my case, there was no need to enable qvm-service somevm pipewire on. In Fedora-38 you need to install pipewire-qubes: dnf in -enablerepo=qubes-vm-r4.2-current-testing pipewire-qubes
Also: dnf in pipewire-pulseaudio —allowerasing
This will automatically enable pipewire support in qvm-features and everything will work.