ShadowHealth Abdominal Pain Esther Park Test Questions with
Answers Rated A
1. Nursing Diagno- Patient exhibits constipation related to deficient fiber and fluid intake, as evidenced
sis by abdominal discomfort and tenderness, defecation fewer than two times per
week, a distended abdomen, generalized fatigue, and a palpable abdominal mass
2. Short term goal To induce a bowel movement that relieves the patient's constipation, resulting in
patient reporting relief and diminished pain, within an emergency department
visit.
3. Interventions 1) Administer a mineral oil based enema with physicians order
2) Assess and fulfill patient needs for ambulating to the bathroom
3) Have patient ambulate the length of the hallway with patient care tech assis-
tance
4) Provide patient with 500 ML of fluid and advise to drink over the next two hours
5) Tell patient to leave any outputs unflushed for examination
4. Data Collections - Ask about pain rating, abdominal cramping, nausea, and dizziness
- ask about patient outputs, presence of stool, and sense of constipation
- evaluate any store for amount and qualities
- evaluate for physical signs of pain and or cramping
- perform dehydration tests. Skin turgor, dry mouth, urine hat collection, and follow
up as necessary
5. chief complaint -reports abdominal pain
-reports diflculty with bowel movement
6. asked about ori- -oriented to own person
entation -oriented to place
-oriented to situation
-oriented to time
7. asked about on- -reports discomfort for the past 5 days
set, frequency, -reports pain with gradual onset that worsened 2-3 days ago
1/7
, ShadowHealth Abdominal Pain Esther Park Test Questions with
Answers Rated A
and duration of
pain
8. asked about loca- -reports pain in lower abdomen
tion of pain -reports pain is not localized
9. asked about pain -reports 6/10 pain
rating on scale
10. asked about -describes pain a dull and cramping
characteristics of -pain fluctuates in severity
pain
11. asked about -denies taking pain medication
non-pharmaco- -denies taking laxatives
logical relieving
factors
12. asked about ag- -reports pain is aggravated by eating
gravating factors -aggravated by physical activity
13. asked about im- -recent diflculty participating in usual activities
pact on daily life -reports low energy
14. followed up on -constipation most of last 5 days
constipation -denies any attempt to treat constipation
15. asked about diar- recent diarrhea
rhea
16. followed up -about 6 months ago
about diarrhea -sudden onset
-lasted one day
-loose and water
2/7
Answers Rated A
1. Nursing Diagno- Patient exhibits constipation related to deficient fiber and fluid intake, as evidenced
sis by abdominal discomfort and tenderness, defecation fewer than two times per
week, a distended abdomen, generalized fatigue, and a palpable abdominal mass
2. Short term goal To induce a bowel movement that relieves the patient's constipation, resulting in
patient reporting relief and diminished pain, within an emergency department
visit.
3. Interventions 1) Administer a mineral oil based enema with physicians order
2) Assess and fulfill patient needs for ambulating to the bathroom
3) Have patient ambulate the length of the hallway with patient care tech assis-
tance
4) Provide patient with 500 ML of fluid and advise to drink over the next two hours
5) Tell patient to leave any outputs unflushed for examination
4. Data Collections - Ask about pain rating, abdominal cramping, nausea, and dizziness
- ask about patient outputs, presence of stool, and sense of constipation
- evaluate any store for amount and qualities
- evaluate for physical signs of pain and or cramping
- perform dehydration tests. Skin turgor, dry mouth, urine hat collection, and follow
up as necessary
5. chief complaint -reports abdominal pain
-reports diflculty with bowel movement
6. asked about ori- -oriented to own person
entation -oriented to place
-oriented to situation
-oriented to time
7. asked about on- -reports discomfort for the past 5 days
set, frequency, -reports pain with gradual onset that worsened 2-3 days ago
1/7
, ShadowHealth Abdominal Pain Esther Park Test Questions with
Answers Rated A
and duration of
pain
8. asked about loca- -reports pain in lower abdomen
tion of pain -reports pain is not localized
9. asked about pain -reports 6/10 pain
rating on scale
10. asked about -describes pain a dull and cramping
characteristics of -pain fluctuates in severity
pain
11. asked about -denies taking pain medication
non-pharmaco- -denies taking laxatives
logical relieving
factors
12. asked about ag- -reports pain is aggravated by eating
gravating factors -aggravated by physical activity
13. asked about im- -recent diflculty participating in usual activities
pact on daily life -reports low energy
14. followed up on -constipation most of last 5 days
constipation -denies any attempt to treat constipation
15. asked about diar- recent diarrhea
rhea
16. followed up -about 6 months ago
about diarrhea -sudden onset
-lasted one day
-loose and water
2/7
