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[Expert Solution]: Scenario: The ICU nurse calls to give you the…

Scenario: The ICU nurse calls to give you the following report: “D.S. is a 56-year-old man with a PMH [past medical history] of chronic bronchitis/COPD. He quit smoking 12 years ago and exercises regularly. He went to see his physician with complaints of [C/O] increasing exertional dyspnea; a large mass was found in his right lung. Three days ago, he underwent a right lower lobectomy, and the pathology report showed adenocarcinoma. He has no neurologic deficits, and his vital signs [VS] run 120/70, 110, about 30, and he has been running a fever of 100.2deg F. His heart tones are clear, all peripheral pulses are palpable, and he has an IV of D5(1)/(2)NS at 50 ml/hr. in his right forearm. He has a right mid-axillary chest tube to the PleurEvac drain; there’s no air leak, and it’s draining small amounts of serosanguinous fluid. He has C/O pain at the insertion site, but the site looks good, and the dressing is dry and intact. He’s on 5 L oxygen by nasal cannula [O2/NC]. He refuses pain medication. He refuses pain medication. He’s a really nervous guy and hasn’t slept since surgery. He’ll be on your floor in 20 minutes.” What additional information would you ask the nurse to provide now?

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