Focused Exam: Abdominal Pain | Results | Best Study Guide Ever!! |

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Status Student Response Model Answer Explanation Points Earned exhibits exhibits The correct status for the nursing diagnosis is "exhibits," because Ms. Park's illness is not a risk but is pre... sent. 2 out of 2 Diagnosis Student Response Model Answer Explanation Points Earned constipation constipation Ms. Park has not had a bowel movement in five days, and shows subjective and objective signs of constipation. Constipation is the highest priority diagnosis as relieving it will have the quickest, most widespread impact on the Ms. Park's condition, including on her abdominal discomfort. 2 out of 2 Etiologies Student Response Model Answer Explanation Points Earned deficient fluid intake deficient fluid intake The amount of fluid and fiber Ms. Park reports in her diet is insufficient for regular gastrointestinal functioning. Other options listed are not appropriate etiologies for Ms. Park's case. 2 out of 2 immobility deficient fiber intake The amount of fluid and fiber Ms. Park reports in her diet is insufficient for regular gastrointestinal functioning. Other options listed are not appropriate etiologies for Ms. Park's case. 0 out of 2 Care Plan : 20 of 52 (38.5%) This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Signs & Symptoms Student Response Model Answer Explanation Points Earned defecation fewer than two times per week defecation fewer than two times per week Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 2 out of 2 abdominal discomfort Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 0 out of 2 abdominal tenderness Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 0 out of 2 distended abdomen Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 0 out of 2 generalized fatigue Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 0 out of 2 palpable abdominal mass Ms. Park presents with abdominal tenderness and discomfort, defecation fewer than two times per week, distended abdomen, generalized fatigue, and a palpable abdominal mass. 0 out of 2 Self Assessment 0 out of 0 Prompt Student Response Model Answer Explanation Points Earned Constipation is the This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Why should constipation be prioritized as the most important diagnosis for Esther Park? 1 highest priority nursing diagnosis because it is the root cause of Ms. Park's abdominal discomfort. Treating her constipation will lead to improvement of all of her signs and symptoms, resulting in the greatest improvement to her overall well-being. When multiple aspects of a patient's condition require treatment, prioritize the diagnosis that has the greatest impact on the patient's wellbeing when treated, and is treatable within a reasonable timeframe. 0 out of 0 Planning 2 out of 22 Short-Term Goal Student Response Model Answer Explanation Points Earned To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. To induce a bowel movement that relieves the patient's constipation, resulting in patient reporting relief and diminished pain, within an emergency department visit. Relieving Ms. Park's constipation will have the quickest, most widespread benefit on her acute health condition, more so than other options that promote longterm health but are not an immediate priority. 2 out of 2 Interventions Student Response Model Answer Explanation Points Earned Administer a mineral oil based enema with physician’s order (no refills) The five interventions prioritized for Ms. Park will all directly lead to a bowel movement and keep Ms. Park safe and informed throughout the process. Interventions such as education, while beneficial for the patient's long-term health, should not be prioritized above relieving her acute constipation. 0 out of 2 Assess and fulfill patient needs for ambulating to the bathroom The five interventions prioritized for Ms. Park will all directly lead to a bowel movement and keep Ms. Park safe and informed throughout the process. Interventions such as education, while beneficial for the patient's long-term health, should not be prioritized above relieving her acute constipation. 0 out of 2 This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Have patient ambulate the length of the hallway with patient care tech assistance The five interventions prioritized for Ms. Park will all directly lead to a bowel movement and keep Ms. Park safe and informed throughout the process. Interventions such as education, while beneficial for the patient's long-term health, should not be prioritized above relieving her acute constipation. 0 out of 2 Provide patient with 500ml of fluid and advise to drink over the next 2 hours The five interventions prioritized for Ms. Park will all directly lead to a bowel movement and keep Ms. Park safe and informed throughout the process. Interventions such as education, while beneficial for the patient's long-term health, should not be prioritized above relieving her acute constipation. 0 out of 2 Tell patient to leave any outputs unflushed for examination The five interventions prioritized for Ms. Park will all directly lead to a bowel movement and keep Ms. Park safe and informed throughout the process. Interventions such as education, while beneficial for the patient's long-term health, should not be prioritized above relieving her acute constipation. 0 out of 2 Intervention Rationale Prompt Student Response Model Answer Explanation Points Earned In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. Given the time constraints, an enema is the appropriate intervention to induce a bowel movement in Ms. Park. The other interventions will help aid in a bowel movement, as well as keep Ms. Park safe, educated, and hydrated during the process. It is important to assure the interventions you carry out are relevant and therapeutic for this particular patient so as not to waste time or put the patient's health at risk. 0 out of 0 Data Collections Student Response Model Answer Explanation Points Earned Some of the appropriate data This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Ask about pain rating, abdominal cramping, nausea, and dizziness (subjective) collections provide information on your shortterm goal, in this case the production of a complete bowel elimination in Ms. Park. Other data collections allow you to assess the patient's current status and any side effects, dehydration, or lingering pain she may have and require treatment for. 0 out of 2 Ask about patient outputs, presence of stool, and sense of constipation (subjective) Some of the appropriate data collections provide information on your shortterm goal, in this case the production of a complete bowel elimination in Ms. Park. Other data collections allow you to assess the patient's current status and any side effects, dehydration, or lingering pain she may have and require treatment for. 0 out of 2 Evaluate any stool for amount and qualities (objective) Some of the appropriate data collections provide information on your shortterm goal, in this case the production of a complete bowel elimination in Ms. Park. Other data collections allow you to assess the patient's current status and any side effects, dehydration, or lingering pain she may have and require treatment for. 0 out of 2 Evaluate for physical signs of pain and/or cramping (objective) Some of the appropriate data collections provide information on your shortterm goal, in this case the production of a complete bowel elimination in Ms. Park. Other data collections allow you to assess the patient's current status and any side effects, dehydration, or lingering pain she may have and require treatment for. 0 out of 2 Perform dehydration tests (skin turgor, dry mouth, urine hat collection) and follow-up as necessary (objective) Some of the appropriate data collections provide information on your shortterm goal, in this case the production of a complete bowel elimination in Ms. Park. Other data collections allow you to assess the patient's current status and any side effects, dehydration, or lingering pain she may have and require treatment for. 0 out of 2 This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Discussion Of Care 0 out of 0 Prompt Student Response Model Answer Explanation Points Earned Explain the rationale behind your nursing diagnosis. The decreased fiber and fluids have contributed to the constipation you feel and without the both of them, stool does not pass through the colon. Based on your lack of recent bowel movements and your abdominal discomfort, it appears that you are constipated. Based on the information you gave in the interview, it sounds like the cause of this problem is not getting enough fluids or enough fiber in your diet. A patient should understand their nursing diagnosis and the rationale behind it to increase their sense of involvement and to identify areas for future improvement. 0 out of 0 Explain your goal for Ms. Park and the interventions and data collections through which you will achieve it. I used the inspection auscultation percussion and palpation. In order to relieve your constipation, the goal is for you to have a bowel movement, so that your pain and abdominal discomfort are relieved. I'm going to give you an enema, which should be quick and effective. I will also have you walk around to help get your bowels moving. Throughout the process, I'll keep you hydrated and make sure that you're safe and comfortable. I will evaluate you for dehydration and side effects of the enema, and ask about your outputs. We're going to do everything we can to get your bowels moving so you can feel some relief! You should communicate the care plan to the patient, allowing them to have involvement and agency in their own healthcare. 0 out of 0 Explicitly ask for Ms. Park's consent to the care plan. can i have your consent in proceeding with the care plan? Do I have your consent to move forward with these interventions? A patient must consent to all interventions in their care plan. Disagreements are opportunities to provide further patient education and to consider alternative options. 0 out of 0 As a result of the This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com Inform Ms. Park that an enema may cause side effects, such as abdominal cramping, nausea, dizziness, and diarrhea. 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. Communicate potential side effects to a patient, so she is aware of the risks and feels comfortable expressing any health changes. 0 out of 0 Intervention & Evaluation 10 out of 10 Student Response Model Answer Explanation Points Earned Fully Fully Ms. Park's goal has been fully achieved, because she has had a bowel movement, reporting a 0/10 pain rating and feeling "completely relieved of constipation." These statements are supported by the size and consistency of her stool. 10 out of 10 Intervention & Evaluation Rationale 0 out of 0 Prompt Student Response Model Answer Explanation Points Earned 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? No response submitted 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 Multiple pieces of data, both subjective and objective, are required to make a credible and careful assessment. 0 out of 0 This study source was downloaded by 100000796615030 from CourseHero.com on 07-28-2021 11:11:54 GMT -05:00 https://www.coursehero.com/file/45796645/Focused-Exam-Abdominal-Pain-Care-Planpdf/ This study resource was shared via CourseHero.com bowel elimination. 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