"Bedside Shift Report
Holly: Mr. Liu reported at our ED a week ago with 3 broken ribs (left 7th-9th) after falling off his neighbor's roof. A chest X-ray revealed that he was negative for pneumothorax. He was observed for 8 hours and discharged with instructions to return if his symptoms worsened. Yesterday, he was reaching for something on a high shelf when he experienced sharp chest pain on his left side followed by difficulty breathing.
Holly: He reported to the ED within the hour, where he was diagnosed with pneumothorax secondary to blunt chest trauma, confirmed via chest X-ray. Physical examination revealed tracheal deviation to the left, air in the left side of the chest, and absent breath sounds on the left side of the chest.
Holly: At 1600 hours yesterday, Mr. Liu received a 28 F chest tube, inserted at the left 4th intercostal space, anterior axillary line.
Holly: Mr. Liu has a hydromorphone patient-controlled analgesia pump at a concentration of 2 mg/mL. He was given a loading dose of 0.4 mg, and set up with with an on-demand bolus of 0.1 mg. The PCA pump has a lockout interval of 10 minutes and an hourly dose limit of 0.6 mg.
Holly: Mr. Liu's vital signs are all within normal limits. His respirations are 18 per minute and his oxygen saturation is 94%.
Holly: Current provider's orders are to monitor the chest tube and drainage unit every hour, to record patient vitals every hour, and to monitor Mr. Liu's pain level and level of consciousness every hour, in addition to checking the dressing at the site of the chest tube insertion once every 2 hours.
What else do you need to ask Holly about Samuel Liu's Background?"

A) Ask about any known allergies or adverse reactions to medications.
B) Inquire about Samuel Liu's medical history, specifically any pre-existing lung conditions or previous surgeries.
C) Request information about Samuel Liu's current medications and any recent changes in medication regimen.
D) Seek clarification on Samuel Liu's social history, including smoking status and exposure to environmental factors that may affect respiratory health.