Case 1 You are on placement and are walking your patient back to their bed. On the way you pass anothen student nurse who is talking with another patient. You can hear some heated exchange between them and look over to hear the patient shout an expletive at the student who then slaps the patient and walks off, You and your patient (who also heard and saw the incident) are quite shaken by what you have seen and once your patient is back in their bed you go to find your fellow student. The student is crying and quite upset but asks you not to say anything. You are concerned about what you witnessed, and you are also concerned how this might affect the other student.

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?