Cаse Descriptiоn: Admissiоn nоtes аnd report from ED RN to Medicаl Unit RN 4-month-old female is brought to the emergency room by the parents. Parents state "our baby has had a runny nose, cough and sneezing for the past few days. Tonight the coughing increased even though we have a humidifier in the room. Our baby refused an evening feeding and was very fussy. Our baby has felt very warm to the touch. We gave acetaminophen which seemed to work for a couple of hours but then she felt warm again. We have only changed the diaper twice today." Physical assessment reveals moderate clear rhinorrhea, nonproductive cough, expiratory wheezes in the upper airway and crackles in the bases, skin is very warm to touch, dry and intact. Bilateral mild subcostal and intercostal retractions. Vital Signs: Temperature 100.2°F (37.9 °C); heart rate 130 beats/min; blood pressure BP 85/50 mm Hg; respiratory rate 66 breaths/min; oxygen saturation 89-90% on room air. Awaiting nasal swab results done in the ED. Weight: 15.2 lb (6.9 kg). For each dropdown below, select the finding that is most concerning to you and requires an immediate intervention.