Emily Montgomery is a 55-year-old woman admitted with a diagnosis of pneumonia and malnutrition. Mrs. Montgomery was brought to the emergency department by a friend. She lives alone and does not work outside the home. Her husband of 30 years died about 1 year ago. She has a son and a daughter; both are married and live about 100 miles away. Physical examination reveals a thin, frail-appearing woman in mild respiratory distress. She is receiving oxygen at 2 L/min, intravenous fluids of 5% dextrose, and water with 40 mEq of potassium added. She is on a full liquid diet with orders to push oral fluids. She is 5'6" tall and weighs 103 lb. She states she has had a poor appetite for the past year and usually eats one small meal daily. Mrs. Montgomery reports a 40-lb weight loss. Laboratory values: hemoglobin 9.7 g/dL, hematocrit 30.1%, albumin 2.8 g/dL

Mrs. Montgomery was admitted to the Medical floor with the following orders:

1. Diet: Full liquid diet

2. Dietary consult

3. Vital signs every 4 hours

4. Intake and Output every 4 hours

5. O2 at 2 L/min via nasal cannula, titrate to maintain SpO2 above 92%

6. D5 W + 40 mEq KCl at 80 mL/hour continuous

7. Levofloxacin 500 mg IV every 24 hours X 7 days

8. Multivitamin 1tab po daily

9. Refer to psychiatrist to r/o depression