Question: A 34-year-old female presents to the emergency department stating, "I have had abdominal pain, nausea, and vomiting over the past week. I have lost 18 pounds in the past month." Client alert and oriented x4, heart sounds S1, S2, audible regular rhythm, peripheral pulses 2, skin warm dry, bilateral breath sounds clear to auscultation, respirations even unlabored, upper abdominal quadrants tender to palpation, bowel sounds hyperactive x4 quadrants. Abdominal pain described as "sharp" during palpation, rated 5/10, and headache described as "throbbing" 4/10. Current weight 56kg, height 5"6", BMI 19. NKDA. T 99.8°F (37.6), pulse 96, respirations 20, blood pressure 132/78 mmHg, pulse oximetry 97% on room air.