A 26-year-old woman presents with sudden onset of severe rig…

A 26-year-old woman presents with sudden onset of severe right-sided pelvic pain associated with nausea and vomiting that began one hour ago. Pregnancy test is negative. Pelvic examination demonstrates unilateral adnexal tenderness.Which diagnosis should receive the highest priority?

A 22-year-old college student presents after noticing a pain…

A 22-year-old college student presents after noticing a painless enlargement of the left hemiscrotum during self-examination. Physical examination reveals a soft scrotal mass that completely transilluminates with a penlight. The testicle itself is difficult to palpate but is not tender.Which diagnosis is most likely?

An 82-year-old woman with moderate Alzheimer’s disease (MMSE…

An 82-year-old woman with moderate Alzheimer’s disease (MMSE 16) is 36 hours post right total hip arthroplasty. She is grimacing, guarding her right leg, and resisting passive range of motion during physical therapy. When asked directly, “Are you in pain?” she responds, “I’m fine, I want to go home.” Her vital signs are within normal limits. The APRN’s most appropriate next step in pain assessment is to: