Emanuel jones, 60 years of age, is male patient diagnosed with small cell carcinoma. he underwent surgery in the past to remove the left lower lobe of his lung. he is receiving chemotherapy. two weeks before a round of chemotherapy, a complete blood count with differential, and a renal and metabolic profile are obtained for the patient. the patient presents to the oncology clinic for chemotherapy with a temperature of 101°f. further assessment reveals decreased breath sounds in the