Miss Ethel, an 89 year old female, just returned from an eight hour bus ride on the way back from a gambling trip in Las Vegas. Upon exiting the bus she quickly becomes diaphoretic, short of breath, and has chest pain with each breath. Vitals: Temp: 98.2 ºF, Pulse: 106 bpm, Respirations: 34/min, BP 140/90 mmHg, Sp02: 80%. What should the nurse suspect as the cause of her respiratory distress?
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