A nurse has worked in the intensive care unit (ICU) for over…

A nurse has worked in the intensive care unit (ICU) for over 20 years. When caring for complex patients, she instinctively recognizes subtle changes in patient status without relying heavily on rules or guidelines. She often mentors newer nurses, offering insight based on years of pattern recognition and deep clinical understanding.

A patient is admitted with signs and symptoms of pneumonia,…

A patient is admitted with signs and symptoms of pneumonia, including high fever, shortness of breath, and productive cough. The nurse attempts to obtain a sputum specimen for culture but the patient is unable to produce one. What action should the nurse expect the provider to order next?