The nurse in the emergency department (ED) is caring for a 4…

The nurse in the emergency department (ED) is caring for a 41-year-old male client.    Nurse’s Notes Emergency Department 1100: Client reports nausea, loss of appetite, vomiting, fever, and constipation for the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week. Client states, “The abdominal pain started after my 7-year-old child accidentally kicked me in the stomach.” Client plays soccer with the child one a week. Vital signs: T 103.4℉ (39.7℃),  P 92, RR 22, BP 130/86, pulse oximetry reading 98% on room air. No significant past medical or surgical history. Body mass index (BMI) of 32. Drinks alcohol only during socal occassions, usually 3 beverages. Smokes cigarettes during social occassions. 

Nancy is a sixteen-year-old high school junior.  For the las…

Nancy is a sixteen-year-old high school junior.  For the last three months, Nancy has insisted that she hates school and often refuses to get up in the mornings.  She sleeps most of the day and refuses to talk to her friends. Although Nancy was once an active, friendly young woman, she has dropped out of all clubs and groups, including her church group.   When her parents insist that she attends school, Nancy spends most of the day near tears.  Her grades are, unsurprisingly, falling rapidly.