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Aclient, prescribed dextroamphetamine for attention deficit hyperactivity disorder (adhd), has developed a common adverse effect of the medication since beginning therapy. which initial intervention should the client be encouraged to implement? a. increase fiber intake. b. take an over-the-counter (otc) laxative daily. c. take metronidazole. d. take diphenoxylate hydrochloride.

A48-year-old male presents with an 8-day history of productive cough, subjective fevers, and malaise. he is otherwise healthy without any active medical problems. he is a social drinker of alcohol, and denies any tobacco or drug use. on physical examination, the patient is alert and oriented. his temperature is 100.4 0 f, pulse rate is 56, respiratory rate is 18, and blood pressure is 133/64. heent is within normal limits and a chest exam has diffuse expiratory wheeze with decreased sounds to the right lower lung fields. blood labs reveal wbc 14.4, hgb 11.3, plt 233, alt 65, ast 102, and po 4 2.1. a chest x-ray reveals a dense consolidation with bulging fissures. based on these findings, what is the most likely pathogen affecting this patient?

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