An 86-year-old male is brought to the emergency department by his wife. After sleeping for eight hours, the client woke up reporting chest heaviness, non-productive cough, shortness of breath, and fatigue. The client took a dose of his prescribed albuterol inhaler and reported no efficacy. The client repeatedly stated that 'something does not feel right.’ The respiratory exam yielded that the client's lung sounds were clear, normal chest excursion, and a respiratory rate of 24 breaths per minute. Two days ago, returned from a sixteen-hour road trip to visit their son at college. The client has a medical history of asthma and diabetes mellitus.