Presenting with vomiting and severe abdominal pain

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The emergency department nurse cares for a 43-year-old female client presenting with vomiting and severe abdominal pain. The nurse completes triage and documents a note. Blood pressure: 175/95 mm Hg Heart rate: 102 beats/min Respiratory rate: 28 breaths/min Temperature: 98.2°F (36.7°C) Oxygen saturation: 97% on room air Medical/surgical history includes tonsils/adenoidectomy, appendectomy, cholecystectomy, kidney stones, total abdominal hysterectomy with oophorectomy, diverticulitis, endometriosis, depression, hypothyroidism, morbid obesity. Which data from the assessment, vital signs, and medical history is of immediate concern?

Reference no: EM133697563

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