Your Patient Is an 83-Year-Old Male with a Fever of 103°F

Your patient is an 83-year-old male with a fever of 103°F. In addition, the patient is confused and combative. Heart rate = 132, respirations = 20, blood pressure = 100/70, SpO₂ 95% on room air, and blood glucose level = 90 mg/dL. During your examination you note that the patient has a Foley catheter and that the collection bag appears not to have been emptied for quite some time. The bag is full of dark, cloudy urine with sediment at the bottom of the bag. Which of the following is most appropriate?

A) Acetaminophen suppository
B) BLS transport without intervention
C) Furosemide
D) Intravenous fluid therapy with normal saline