[Expert Solution]: hief Complaint: fatigue, shortness of…

hief 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 Methylprednisolone sodium succinate 30 mg/kg intravenous (IV) every 6 hours 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