A 67-year-old patient with a 40-pack-year smoking history pr…
A 67-year-old patient with a 40-pack-year smoking history presents to the clinic with a persistent cough that has worsened over the past 3 months, occasional blood-tinged sputum, and shortness of breath. The patient reports having multiple bronchial infections over the past year but did not seek treatment promptly. During the assessment, the nurse also notes new-onset confusion and reports of intermittent back pain. Based on the patient’s presentation, which cluster of findings should alert the nurse to the possibility of metastatic NSCLC?