SHADOWHEALTH ABDOMINAL PAIN ESTHER PARK QUESTIONS AND
ANSWERS
Nursing Diagnosis - CORRECT ANSWER✅✅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
Short term goal - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅- 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 - CORRECT ANSWER✅✅-reports abdominal pain
-reports difficulty with bowel movement
asked about orientation - CORRECT ANSWER✅✅-oriented to own person
-oriented to place
-oriented to situation
-oriented to time
, asked about onset, frequency, and duration of pain - CORRECT ANSWER✅✅-reports discomfort for the
past 5 days
-reports pain with gradual onset that worsened 2-3 days ago
asked about location of pain - CORRECT ANSWER✅✅-reports pain in lower abdomen
-reports pain is not localized
asked about pain rating on scale - CORRECT ANSWER✅✅-reports 6/10 pain
asked about characteristics of pain - CORRECT ANSWER✅✅-describes pain a dull and cramping
-pain fluctuates in severity
asked about non-pharmacological relieving factors - CORRECT ANSWER✅✅-denies taking pain
medication
-denies taking laxatives
asked about aggravating factors - CORRECT ANSWER✅✅-reports pain is aggravated by eating
-aggravated by physical activity
asked about impact on daily life - CORRECT ANSWER✅✅-recent difficulty participating in usual activities
-reports low energy
followed up on constipation - CORRECT ANSWER✅✅-constipation most of last 5 days
-denies any attempt to treat constipation
asked about diarrhea - CORRECT ANSWER✅✅recent diarrhea
followed up about diarrhea - CORRECT ANSWER✅✅-about 6 months ago
ANSWERS
Nursing Diagnosis - CORRECT ANSWER✅✅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
Short term goal - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅- 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 - CORRECT ANSWER✅✅-reports abdominal pain
-reports difficulty with bowel movement
asked about orientation - CORRECT ANSWER✅✅-oriented to own person
-oriented to place
-oriented to situation
-oriented to time
, asked about onset, frequency, and duration of pain - CORRECT ANSWER✅✅-reports discomfort for the
past 5 days
-reports pain with gradual onset that worsened 2-3 days ago
asked about location of pain - CORRECT ANSWER✅✅-reports pain in lower abdomen
-reports pain is not localized
asked about pain rating on scale - CORRECT ANSWER✅✅-reports 6/10 pain
asked about characteristics of pain - CORRECT ANSWER✅✅-describes pain a dull and cramping
-pain fluctuates in severity
asked about non-pharmacological relieving factors - CORRECT ANSWER✅✅-denies taking pain
medication
-denies taking laxatives
asked about aggravating factors - CORRECT ANSWER✅✅-reports pain is aggravated by eating
-aggravated by physical activity
asked about impact on daily life - CORRECT ANSWER✅✅-recent difficulty participating in usual activities
-reports low energy
followed up on constipation - CORRECT ANSWER✅✅-constipation most of last 5 days
-denies any attempt to treat constipation
asked about diarrhea - CORRECT ANSWER✅✅recent diarrhea
followed up about diarrhea - CORRECT ANSWER✅✅-about 6 months ago
