[Expert Solution]: Medical/Surgical history: Diagnosed with…

Medical/Surgical history: Diagnosed with emphysema 10 years ago, managed with inhalers and never hospitalized for it. “Mild” myocardial infarction 3 years ago, 2 stents placed in LAD artery. Peripheral vascular disease x 3 years. Mild benign prostatic hypertrophy diagnosed 1 year ago. GERD treated with OTC medications. Cholecystectomy at the age of 45 years; appendectomy and umbilical hernia repair at age of 22 years. Social history: Exposed to secondhand smoke for entire life. Worked 30 years at a dry cleaning business, exposed to inhaled chemicals. Has never smoked. Drinks 4-6 beers/week. Lives with partner of 30 years, no children. Denies use of illicit drugs. Family history: Adopted, does not know family history. Physical assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA, breath sounds diminished throughout, crackles in RLL, dyspnea with minimal exertion, productive cough, tachypnea present at a rate of 26 breaths/minute. Dull percussion over right lower lobe. S1, S2 with murmur, occasional irregular beats. 3+ radial pulses, 1+ dorsalis pedis and posterior tibialis pulses. Bowel sounds normal, last bowel movement this morning. Urine amber, hesitancy with start of stream, nocturia. MThe nurse has documented care for this patient experiencing a complication of COPD. Select to highlight the entries that are consistent with a secondary spontaneous pneumothorax (SSP)