[Solved]: It is a hot summer day, and you are an RN in the…

It is a hot summer day, and you are an RN in the emergency department (ED). S.R., an 18-year-old woman, comes to the ED with severe left flank and abdominal pain and nausea and vomiting (N/V). S.R. looks very tired, her skin is warm to touch, and she is perspiring. She paces about the room doubled over and is clutching her abdomen. S.R. tells you that the pain started early this morning and has been steady for the past 6 hours. She gives a history of working outside as a landscaper and takes little time for water breaks. Her past medical history (PMH) includes 3 kidney stone attacks, all during late summer. Exam findings are that her abdomen is soft and without tenderness, but her left flank is extremely tender to touch, palpation, and percussion. You place S.R. in one of the exami- nationrooms and take the following vital signs (VS): 188/98, 90, 20, 99°F. Urinalysis (UA) shows RBC of 50 to 100 on voided specimen, WBC 0