1400: 13-year-old male arrived from the primary healthcare provider's office and was admitted with right lower lobe pneumonia. The client has a medical history of cystic fibrosis, diabetes mellitus, and failure to thrive. The mother and father are present, helping the client settle into the room. On assessment, the client is alert and oriented to person, place, and time. The client endorses pain 5/10 on the numerical pain scale as he coughs. The client's skin is very dry, and the color is pale with blue-tinged nail beds. Capillary refill is less than 3 seconds. Lung sounds are clear on the left, and audible rhonchi and wheezes on the right—labored respirations. The client appears in moderate distress and underweight. Vital signs T 101.1° F (38.4° C), P 92, RR 26, BP 114/74. Physician notified for admission orders.