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A 46-year-old man who came to Australia from South Sudan eight years ago is on the fourth day of treatment for community-acquired pneumonia. Asked by the nurse to review him, you find him sitting forward, using his neck muscles and speaking in three-word phrases. His respiratory rate is 26 per minute, his pulse 104 and his temperature 37.6 degrees Celsius. His hands are warm and well perfused, and the oximeter reads 95 per cent on 4 L/min by nasal prongs. Which one of the following is the most appropriate next step?
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