[Verified Answer]: Read Aloud Rate Content Report Issue…

Read Aloud Rate Content Report Issue Submit © 2025 Chamberlain University LLC. All rights reserved Case Study: Obstructive and Restrictive Lung Diseases The following six questions are part of an unfolding case study. Question 5 / 6 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Take Action Review the electronic health record and respond to the question that follows. History & Physical Progress Notes Laboratory Results Date/TimeHistory & Physical 03/12/20XX 0534 Chief Complaint: fatigue, shortness of breath with productive cough History of Present Illness: Alfonso Smith (pronouns he/him/his), a 74-year-old male, presents with complaints of fatigue, dyspnea, and a cough with yellowish-red tinged sputum. He was diagnosed with a viral upper respiratory tract infection 2 days ago and states, “I am getting worse.” Up to date with influenza and COVID vaccinations. Negative influenza and COVID tests. Medications: Multivitamin, ferrous sulfate, calcium carbonate, metformin, Lipitor Past Medical History: type 2 diabetes mellitus, anemia, hypercholesteremia , COPD Review of Systems: General: Clean, well-groomed appearance Neurological: Alert and oriented to person, place, time, and situation (A&O x 4) Cardiovascular: Tachycardic. S1 and S2 are present, and the capillary refill is less than 3 seconds Respiratory: Respirations shallow and rapid at rest; Inspiratory crackles Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain Genitourinary: Denies any GI symptoms Musculoskeletal: Denies any pain. Ambulates unassisted Integumentary: Skin pink, warm, and dry Allergies: None reported Social History: Retired; lives with spouse Family History: No significant family history was reported Vital Signs: Temperature: 101.4 °F (38.6 °C); Heart rate: 102 bpm; Respiratory rate: 32 breaths per minute; Blood pressure: 136/76 mmHg; Pulse oximetry: 95% on room air The nurse practitioner (NP) must prescribe additional orders due to the client’s confirmed diagnosis of bacterial pneumonia. Which two (2) actions should the nurse prioritize? Select 2. Azithromycin 500 mg IV x 2 days, then 500 mg orally (to complete a 7- to 10-day course of therapy) Albuterol 2.5 mg/kg per nebulizer every 20 minutes for 3 doses Repeat arterial blood gas (ABG) – call results Albuterol 2.5 mg/kg per nebulizer every 1–4 hours, PRN Increase intravenous (IV) 0.9% normal saline (NS) infusion to 250 mL/hour Methylprednisolone sodium succinate 30 mg/kg intravenous (IV) every 6 hours