Approach to a fever Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 72-year-old woman is brought to the emergency department for evaluation of altered mental status and fevers. Her partner states that over the past several days, the patient was complaining of shortness of breath and a cough that has been productive of thick, yellow sputum. Her partner also states she has had temperatures as high as 102.3°F (38.9°C). She has a past medical history of atrial fibrillation, type 2 diabetes mellitus, hypertension, and COPD. Her medications include apixaban, metformin, lisinopril, and daily formoterol. Temperature is 39.4°C (103°F), pulse is 112/min, respiratory rate is 22/min, blood pressure is 96/64 mmHg, and oxygen saturation is 87% on room air. The patient is somnolent but arousable and is able to answer basic orientation questions. Cardiopulmonary examination reveals crackles at the left lung base. There is dullness to percussion. No wheezes are heard. Heart rate is tachycardic and irregularly irregular. The patient is placed on 2 liters of oxygen via nasal cannula with improvement of oxygen saturation to 95%. Chest X-ray reveals a consolidation of the left lower lobe. Which of the following is the best next step in management? 

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