Patient Information:
- Age: 17
- Gender: Male

History and Physical Nurses’ Notes:
- Vital Signs:
- Pulmonary: Denies shortness of breath; reports discomfort in the lower left side of the chest when taking a deep breath.
- Gastrointestinal: Reports feeling abdominal fullness and is occasionally nauseated.
- Musculoskeletal: Sustained an injury to the left rib cage last week after being struck by a mechanically pitched baseball in a batting cage.
- Reports intermittent pain in the left shoulder rated 6/10 on the Numerical Rating Scale.
- Feels light-headed.
- Significant bruising to the shoulder.
- History of arthroscopic repair to the left shoulder for a torn rotator cuff last year.
- Psychosocial: Has not felt well enough to attend baseball practice since the injury.

Question:

Which of the following issues is the client at risk of developing? Select all that apply.

1. Stroke
2. Hemothorax
3. Bowel perforation
4. Splenic laceration
5. Pulmonary embolism
6. Abdominal aortic aneurysm