NR 509 ABDOMINAL PAIN
DOCUMENTATION SHADOW HEALTH - MS.
ESTHER PARK NOTES COMPLETE STUDY
GUIDE 2026 | VERIFIED ANSWERS | 100%
CORRECT | GRADED A+| PASS
GUARANTEED
Palpated Abdomen - Deep - ANSWER Presence of Unexpected Mass: Palpable
mass
Location of Mass: Left lower quadrant
Palpated Aortic Width - ANSWER Size: 3 cm or less
Palpated Liver - ANSWER Detection: Palpable
Palpated Spleen - ANSWER Detection: Not palpable
Asked about substances in stool - ANSWER Do you have mucus in your stool?
Do you have blood in your stool?
Asked about urination - ANSWER How often do you urinate? What color is
your urine? Do you have blood in your urine?
Asked about fluid intake - ANSWER What is your typical fluid intake a day?
Do you drink caffeinated drinks?
,PAST MEDICAL HISTORY - ANSWER How often do you have a bowel
movement? What does your stool look like?
Asked about allergies - ANSWER Are you allergic to latex? Are you allergic to
any medications? Do you have any food allergies?
Asked about pre-existing health conditions - ANSWER Do you have any pre-
existing health conditions? When were you diagnosed with high blood pressure?
Asked about relevant history of surgery - ANSWER Have you been pregnant?
What happened to your third pregnancy?
HOME MEDICATIONS - ANSWER Do you take medications? What is the
prescribed dosage for the medication? When do you take your high blood pressure
medication?
Asked about access to healthcare - ANSWER Do you go to your annual check-
ups? When was your last pap smear? What is your activity level? Do you have
intercourse? Have you been tested for STDs?
Asked about family and support system - ANSWER Do you live alone? Do you
have a strong support system?
Asked about diet - ANSWER When was your last meal? How many meals do
you have in a day? What is your typical breakfast? What is your typical lunch?
What is your typical dinner?
,Asked about fiber intake - ANSWER Do you incorporate fiber in your diet?
Fiber is essential to the diet. Adults should aim for around 28 grams of fiber per
day from fruits, vegetables, and whole grains.
Asked about substance use - ANSWER Do you smoke marijuana? Do you
smoke cigarettes? Do you drink alcohol?
Followed up about alcohol consumption - ANSWER How often do you drink
alcohol? How many alcoholic drinks do you have in one sitting?
Asked about experience of abuse - ANSWER Have you experienced any abuse?
Review of Systems - Constitutional Health - ANSWER Have you noticed
recent changes in weight? Do you have fever, chills, night sweats, or feel
exhausted?
Review of Systems - Gastrointestinal - ANSWER Do you feel bloated, gassy,
have an appetite, experience nausea/vomiting, or have a history of gastrointestinal
disorders?
Review of Systems - Genitourinary - ANSWER Have you started menopause?
Do you have bladder problems, painful/burning urination, urinary incontinence,
gynecological problems, or vaginal bleeding/discharge?
Review of Systems - Cardiovascular - ANSWER Do you have heart
palpitations?
, Asked about respiratory health - ANSWER Do you currently have shortness of
breath, a cough, or chest tightness?
Objective Data Collection - ANSWER Patient Data
Discussion of care- Explicitly ask for Ms. Park's consent to the Care Plan. -
ANSWER Do I have your consent to move forward with these interventions?
Discussion of care- Inform Ms. Park that an enema may cause side effects, such as
abdominal cramping, nausea, dizziness, and diarrhea. - ANSWER As a result of
the enema, it's possible that you could feel cramping, nausea, dizziness, and
diarrhea. If you notice anything like this, don't hesitate to let me know.
Intervention and Evaluation - ANSWER Fully
Intervention and Evaluation Rationale- Did you achieve your goal of inducing a
bowel movement that relieved the patient's constipation, resulting in the patient
reporting relief and diminished pain? - ANSWER The goal of relieving Ms.
Park's constipation has been fully achieved because the enema, along with the
other interventions, induced a bowel movement. She stated that she feels relieved
and empty, which shows that the patient's experience of signs and symptoms has
greatly diminished. Most importantly, her discomfort has gone away. She rated her
current pain as a 0 out of 10. The objective data that was gathered also supports
this evaluation, as the characteristics of the stool show that she has had a complete
bowel elimination.
Established chief complaint - ANSWER Reports abdominal pain
Reports difficulty with bowel movements
DOCUMENTATION SHADOW HEALTH - MS.
ESTHER PARK NOTES COMPLETE STUDY
GUIDE 2026 | VERIFIED ANSWERS | 100%
CORRECT | GRADED A+| PASS
GUARANTEED
Palpated Abdomen - Deep - ANSWER Presence of Unexpected Mass: Palpable
mass
Location of Mass: Left lower quadrant
Palpated Aortic Width - ANSWER Size: 3 cm or less
Palpated Liver - ANSWER Detection: Palpable
Palpated Spleen - ANSWER Detection: Not palpable
Asked about substances in stool - ANSWER Do you have mucus in your stool?
Do you have blood in your stool?
Asked about urination - ANSWER How often do you urinate? What color is
your urine? Do you have blood in your urine?
Asked about fluid intake - ANSWER What is your typical fluid intake a day?
Do you drink caffeinated drinks?
,PAST MEDICAL HISTORY - ANSWER How often do you have a bowel
movement? What does your stool look like?
Asked about allergies - ANSWER Are you allergic to latex? Are you allergic to
any medications? Do you have any food allergies?
Asked about pre-existing health conditions - ANSWER Do you have any pre-
existing health conditions? When were you diagnosed with high blood pressure?
Asked about relevant history of surgery - ANSWER Have you been pregnant?
What happened to your third pregnancy?
HOME MEDICATIONS - ANSWER Do you take medications? What is the
prescribed dosage for the medication? When do you take your high blood pressure
medication?
Asked about access to healthcare - ANSWER Do you go to your annual check-
ups? When was your last pap smear? What is your activity level? Do you have
intercourse? Have you been tested for STDs?
Asked about family and support system - ANSWER Do you live alone? Do you
have a strong support system?
Asked about diet - ANSWER When was your last meal? How many meals do
you have in a day? What is your typical breakfast? What is your typical lunch?
What is your typical dinner?
,Asked about fiber intake - ANSWER Do you incorporate fiber in your diet?
Fiber is essential to the diet. Adults should aim for around 28 grams of fiber per
day from fruits, vegetables, and whole grains.
Asked about substance use - ANSWER Do you smoke marijuana? Do you
smoke cigarettes? Do you drink alcohol?
Followed up about alcohol consumption - ANSWER How often do you drink
alcohol? How many alcoholic drinks do you have in one sitting?
Asked about experience of abuse - ANSWER Have you experienced any abuse?
Review of Systems - Constitutional Health - ANSWER Have you noticed
recent changes in weight? Do you have fever, chills, night sweats, or feel
exhausted?
Review of Systems - Gastrointestinal - ANSWER Do you feel bloated, gassy,
have an appetite, experience nausea/vomiting, or have a history of gastrointestinal
disorders?
Review of Systems - Genitourinary - ANSWER Have you started menopause?
Do you have bladder problems, painful/burning urination, urinary incontinence,
gynecological problems, or vaginal bleeding/discharge?
Review of Systems - Cardiovascular - ANSWER Do you have heart
palpitations?
, Asked about respiratory health - ANSWER Do you currently have shortness of
breath, a cough, or chest tightness?
Objective Data Collection - ANSWER Patient Data
Discussion of care- Explicitly ask for Ms. Park's consent to the Care Plan. -
ANSWER Do I have your consent to move forward with these interventions?
Discussion of care- Inform Ms. Park that an enema may cause side effects, such as
abdominal cramping, nausea, dizziness, and diarrhea. - ANSWER As a result of
the enema, it's possible that you could feel cramping, nausea, dizziness, and
diarrhea. If you notice anything like this, don't hesitate to let me know.
Intervention and Evaluation - ANSWER Fully
Intervention and Evaluation Rationale- Did you achieve your goal of inducing a
bowel movement that relieved the patient's constipation, resulting in the patient
reporting relief and diminished pain? - ANSWER The goal of relieving Ms.
Park's constipation has been fully achieved because the enema, along with the
other interventions, induced a bowel movement. She stated that she feels relieved
and empty, which shows that the patient's experience of signs and symptoms has
greatly diminished. Most importantly, her discomfort has gone away. She rated her
current pain as a 0 out of 10. The objective data that was gathered also supports
this evaluation, as the characteristics of the stool show that she has had a complete
bowel elimination.
Established chief complaint - ANSWER Reports abdominal pain
Reports difficulty with bowel movements
