ShadowHealth Abdominal Pain Esther Park Questions And Answers With 100% Correct Answers

asked about characteristics of pain - -describes pain a dull and cramping -pain fluctuates in severity asked about typical bowel movements - -typically has BM almost every day -stools usually brown, formed, soft 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. 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 assistance 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 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 chief complaint - -reports abdominal pain -reports difficulty with bowel movement asked about orientation - -oriented to own person-oriented to place -oriented to situation -oriented to time asked about onset, frequency, and duration of pain - -reports discomfort for the past 5 days -reports pain with gradual onset that worsened 2-3 days ago asked about location of pain - -reports pain in lower abdomen -reports pain is not localized asked about pain rating on scale - -reports 6/10 pain asked about non-pharmacological relieving factors - -denies taking pain medication -denies taking laxatives asked about aggravating factors - -reports pain is aggravated by eating -aggravated by physical activity asked about impact on daily life - -recent difficulty participating in usual activities -reports low energy followed up on constipation - -constipation most of last 5 days -denies any attempt to treat constipation asked about diarrhea - recent diarrhea followed up about diarrhea - -about 6 months ago -sudden onset-lasted one day -loose and water asked about substances in stool - -denies mucus and blood in stool asked about urination - -recent, slight decrease in frequency of urination -darker urine recently -denies blood in urine asked about fluid intake - -decreased thirst -decreased fluid intake for last few days -typical fluid intake is 1-2 glasses water/day -denies drinking caffeine asked about contact with illnesses - -denies recent travel and exposure to food poisoning asked about history of constipation - denies history Nursing Diagnosis - Patient exhibits constipation related to deficient fiber and fluid intake, as evidenced by abdominal discomfort and tenderness, defecation fewer than two times per week, a distended abdomen, generalized fatigue, and a palpable abdominal mass asked about allergies - -reports latex allergy -denies med allergies -denies food allergies asked about pre-existing health conditions - -reports high BP -diagnosed at 54 asked about relevant history of surgery - -c section at 40-gall bladder removal at 42 -no post op complications asked about home meds - -meds for high BP -10 mg accupril daily at 8 am -no OTC meds asked about access to healthcare - -annual checkup with HCP -last pap smear over 10 years -level of health and activity is good -denies STI testing -last colonoscopy over 10 years -denies finances as a barrier -denies transportation as a barrier