1249: Client arrives to the ED due to increased shortness of breath this morning. The client reports a fever for the past few days and has started to cough up greenish mucus and report generalized body aches. History of epilepsy. On assessment, the client’s breathing appears labored, with a persistent productive cough and coarse rhonchi noted in the bilateral lung bases. Skin hot to touch and pale pink in tone; pulses 1+ and regular. Capillary refill is greater than 3 seconds. Client is lethargic and oriented to person, place, and time. 20-gauge peripheral vascular access device (VAD) placed in right forearm. Vital signs: T 102° F (38.9° C), P 81, RR 23, BP 150/88, pulse oximetry reading 95% on room air.