1)     A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue. Physical

examination is non-specific. The vital signs are T-102,2oF, Pulse 121 bpm, respiratory rate is 28 bpm, and blood pressure of 128/84 mm Hg. He is alert and conversant, not acutely distressed, but clearly does not feel well. Lungs auscultate for generally decreased breath sounds diffusely. The cardiac exam is significant only for tachycardia. There is discrete purpora lesions ranging from 0.5 cm to 1 cm on both lower legs. The AGACNP takes which of the following actions?s

a)     Orders a stat chest radiograph

b)     Orders hospital admission diagnostic evaluation

c)      Obtains blood and sputum culture

d)     Orders a nebulizer treatment

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