Working in the Emergency Room with a Registered Nurse

You are an LPN working in the Emergency Room with a Registered Nurse when S.R. a 25-year old woman, came in with complaints of severe left flank and abdominal pain. She complaints of nausea and vomiting, her skin is pale and diaphoretic. The pain began in the morning and has been pretty steady for the past 6 hours. S.R. works as a landscraper and takes little time for water breaks. Her abdomen is soft and without tenderness , but her left flank is extremely tender to touch. You place S.R. in one of the examination rooms and take the following vital signs188/98 90 20 99% 99 F.