Ms. Rodriguez is a 38-year-old female presenting with cough and shortness of breath for 2 days, which is worse than previous similar episodes. She has a history of hypertension, COPD, and end-stage renal disease requiring dialysis. On exam, her temperature is 101.3 and lungs have diminished breath sounds and rales in the right lower lobe. The assessment is pneumonia, and the plan is to obtain a chest x-ray to evaluate for infiltrates and start antibiotics.