The case takes place in a community elder care facility. The patient is a 90 yo male resident in the facility who was participating in activities at the daycare center when he was seen to begin staggering. He was then brought to the health room for examination by the learner, who is the nurse working at the facility. The patient presents with fever, decreased consciousness level, increased respiratory rate, increased heart rate, and cyanosis. Student is expected to perform exam, begin interventions, and call for transfer of patient to local hospital for further care.