SHADOWHEALTH ABDOMINAL PAIN
ESTHER PARK EXAM QUESTIONS WITH
100% CORRECT DETAILED AN
, Nursing Diagnosis - ANSWERPatient 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 location of pain - ANSWER-reports pain in lower abdomen
-reports pain is not localized
asked about pain rating on scale - ANSWER-reports 6/10 pain
asked about characteristics of pain - ANSWER-describes pain a dull and cramping
-pain fluctuates in severity
asked about non-pharmacological relieving factors - ANSWER-denies taking pain
medication
-denies taking laxatives
asked about pre-existing health conditions - ANSWER-reports high BP
-diagnosed at 54
asked about relevant history of surgery - ANSWER-c section at 40
-gall bladder removal at 42
-no post op complications
asked about aggravating factors - ANSWER-reports pain is aggravated by eating
-aggravated by physical activity
Short term goal - ANSWERTo induce a bowel movement that relieves the patient's
constipation, resulting in patient reporting relief and diminished pain, within an
emergency department visit.
Interventions - ANSWER1) 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 - 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
ESTHER PARK EXAM QUESTIONS WITH
100% CORRECT DETAILED AN
, Nursing Diagnosis - ANSWERPatient 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 location of pain - ANSWER-reports pain in lower abdomen
-reports pain is not localized
asked about pain rating on scale - ANSWER-reports 6/10 pain
asked about characteristics of pain - ANSWER-describes pain a dull and cramping
-pain fluctuates in severity
asked about non-pharmacological relieving factors - ANSWER-denies taking pain
medication
-denies taking laxatives
asked about pre-existing health conditions - ANSWER-reports high BP
-diagnosed at 54
asked about relevant history of surgery - ANSWER-c section at 40
-gall bladder removal at 42
-no post op complications
asked about aggravating factors - ANSWER-reports pain is aggravated by eating
-aggravated by physical activity
Short term goal - ANSWERTo induce a bowel movement that relieves the patient's
constipation, resulting in patient reporting relief and diminished pain, within an
emergency department visit.
Interventions - ANSWER1) 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 - 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
