Select the cоrrect аnswer: A 72-yeаr-оld аdult with a histоry of COPD and diabetes presents to an urgent care clinic with complaints of dyspnea, productive cough of thick, yellow sputum, chills and fever. The client's illness began shortly after caring for ill grandchildren. Current medications: budesonide, glycopyrrolate, and formoterol fumarate (Breztri) inhaler twice daily, metformin 500 mg twice daily, empagliflozin (Jardiance) 10 mg daily The patient has no known drug or food allergies. Vitals: B/P 140/92; Pulse 108; Respirations 30; Temp 101.6; Pulse oximetry 94%. Physical exam: Acutely-ill appearing adult - per spouse appeared slightly confused this morning; HEENT unremarkable: S1/S2 regular/rate and rhythm; Respirations slightly labored; dullness percussed bilaterally; bilateral fremitus; frequent cough with copious amounts of thick, yellow sputum; course crackles in right lower lobe; Abdominal exam normal. Chest x-ray confirms an infiltrate in the right lower lobe. The patient tested negative for flu and COVID-19. The patient quit smoking in 2 months ago, occasionally drinks alcoholic beverages on the weekends when going out to dinner with friends, and has a BMI of 27. The patient has no known drug allergies. Complete Blood Count WBC 22,500 cells/mm3 RBC 4.8 Hbg 13.1 g/dL Hct 39.5% Neut 82% Lymph 15% Eos 1% Mono 2% Chemistry Panel: Glucose 145 mg/dL Sodium 145 mEq/L Potassium 4.2 mEq/L Chloride 96 meq/L BUN 41 mg/dL Creatinine 0.6 mg/dL What treatment plan is most appropriate for this patient?
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