A 44-year-old male staying in a homeless shelter is alert and complaining of shortness of breath. He has a two-week history of cough with hemoptysis, fever, chills, and night sweats. Physical examination reveals skin to be warm and moist and lung sounds decreased in the right upper lobe with rhonchi. HR = 100, BP = 142/100, RR = 20, SaO2 = 95. You should assume this patient has a high likelihood of having:
A) hantavirus pulmonary syndrome.
B) tuberculosis.
C) pneumonia.
D) RSV.
Question 2
A 7-year-old with a fever of 101.3F and shortness of breath has a patent airway, but tachypneic respirations. His heart rate is 132, respirations 28, and blood pressure 94/60 with an SpO2 of 96 on room air. Crackles and wheezes are noted in the base of the right lung. Based on this presentation, you would suspect and treat the patient for:
A) bronchiolitis.
B) pneumonia.
C) asthma.
D) upper respiratory infection.
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