[Verified Answer]: Gustavo Lujan Rodriguez is a 4-year-old…

Gustavo Lujan Rodriguez is a 4-year-old male who has presented to the primary care clinic with a parent. The parent states, “Gus has had a cold for about three days, but overnight, he started to seem short of breath.” Vital signs are as follows: Blood pressure, 90/55 mmHg; heart rate, 125/min; respiratory rate, 45/min; temperature, 39.1 ̊C (102.3 ̊F); oxygen saturation, 90% on room air. The parent reports the child has a history of activity-induced asthma, but they have not had an asthma attack in over six months. The nurse performs a general survey and notes that Gustavo is well developed and well nourished. The child is coughing and appears tired. The nurse obtains more information from the parent. The parent reports there is cigarette smoking in the household, but they try to avoid the children when doing so. The child is a full-time student in a local preschool, and they have had two episodes of otitis media since 1 year of age. The parent reports the child has an inhaler for the asthma but doesn’t like the face mask spacer, so it’s hard to get him to take it. The parents report the child vomited this morning.