A client presents to the clinic with sharp pain on the left side of his chest that is pleuritic in nature. He reports he was at a bar drinking when he noticed the pain. On auscultation you detect decreased breath sounds on the left. His vital signs are BP 150/90, pulse 100, respiratory rate shallow at 24, and no fever. Based on the clinical findings the nurse would suspect which of the following?
1. Spontaneous pneumothorax
2. Pneumonia
3. Fractured ribs
4. Tuberculosis
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