You are a nurse in the medical unit. Kim Lee, an 81 y.o. fem…

You are a nurse in the medical unit. Kim Lee, an 81 y.o. female has been admitted with some increased breathing difficulties and fever.  She has been diagnosed with pneumonia. Her vital signs are Temperature 100.4 degrees F, spO2 86%, RR 24/min, BP 143/92 mmHg, and HR 106/min with diminished lung sounds.  She is weak and complaining of shortness of breath.  She has a history of hypertension, diabetes, and COPD (chronic obstructive pulmonary disease).