The reason C.M. Punk (Phil Brooks) starts his big promo by talking about John Cena laying there uncomfortable is because R-Truth (Ron Killings) had just defeated Cena in a non-title tables match.
C.M. Punk's big promo is an example of what is known in wrestling as a "worked shoot," that is, a completely planned and scripted event (a "work") that, due to specific language used by the people involved, is made to seem more "real" than what usually happens on a show (a completely unplanned, real event is called a "shoot." These very rarely happen. As a general rule, if a wrestler is on TV and says something is a "shoot," it's not.)