Situation (#s 1 – 20): Mrs Juana dela Cruz, unemployed, age 33, entered the emergency room with complaints of nausea and vomiting and mild to moderate chest pain. She also has choledolithiasis...

Situation (#s 1 – 20): Mrs Juana dela Cruz, unemployed, age 33, entered the emergency room with complaints of nausea and vomiting and mild to moderate chest pain. She also has choledolithiasis (gallstones in the bile duct). She answers questions appropriately but cannot recall her past medications. Initial assessment revealed scattered crackles bilaterally throughout the lung bases and +1 pitting peripheral edema bilaterally in the lower extremities. She is 8 Kg (18 lbs) heavier than her estimated weight of 74 kg (164 lbs). BP: 140/90 mmHg, HR: 116 bpm, Respirations: 25 breaths/min, Temperature: 38.7oC/axilla, SPO2: 91%. Cholesterol is 250mg/dL, triglycerides is 200 mg/dL, and LDL is 212 mg/dL. HDL 55 mg/dL. Serum Albumin is 2.8 g/dL.