A 22 year-old college student arrives at the urgent care center accompanied by his partner with reports of nausea, vomiting and anorexia for the past 7 days.

Click to highlight the objective and subjective data of a potential acute infection, requiring further investigation by the nurse:

Nurse’s Notes:

The client reports the purpose of his visit is nausea, vomiting, anorexia and extreme fatigue. A month ago, he traveled to Central America for a vacation with college friends. He denies recent vaccinations, tattoos, dyspnea and syncope. NKDA. Skin is ashen and turgor is > 3 seconds. The client states, “I don’t understand why I am feeling so tired after my vacation. The food was great and we were careful with water sources.” Vital signs: Temperature 100.8 degrees F, heart rate 122 BPM, respiratory rate 24 BPM, we were careful with water sources.” Vital signs: Temperature 100.8 degrees F, heart rate 122 BPM, respiratory rate 24 BPM, oxygen saturation 96% on room air. Right upper quadrant pain rated 5/10. Two friends have also reported feeling ill.