Focused Exam: Abdominal Pain Results | Turned In Health Assess - Spring 1 2020, 322301

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Focused Exam: Abdominal Pain Results | Turned In Health Assess - Spring 1 2020, 322301 Return to Assignment (/assignments/289775/) Your Results Reopen (/assignment_attempts/6077725/reo... pen Lab Pass (/assignment_attempts/6077725/lab_pass.p Overview Transcript Subjective Data Collection Care Plan : 13 of 13 (100.0%) Nursing Diagnosis 5 out of 5 Objective Data Collection Education & Empathy Documentation Care Plan Nursing Diagnoses: Definitions & Classifications 2018-2020 © NANDA-International, 2017 used by arrangement with Thieme Medical Publish Inc., a division of the Thieme Group. All rights reserved. Authorized translation from the English language edition published by Thieme Medica Publishers Inc. No part of this material may be reproduced in any form without the written permission of the agent of the copyright holder, NAN International. Direct inquires to [email protected]. Link for more information: http://www.nanda.org/. Status Student Response Model Answer Explanation Points Earn exhibits exhibits The correct status for the nursing diagnosis is "exhibits," because Ms. Park's illness is not a risk but is present. 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earn 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. 0.5 out of 0.5 Etiologies Student Response Model Answer Explanation Points Earn 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. 0.5 out of 0.5 deficient fiber intake 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. 0.5 out of 0.5 hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 Signs & Symptoms Student Response Model Answer Explanation Points Earn palpable abdominal mass 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. 0.5 out of 0.5 generalized fatigue 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. 0.5 out of 0.5 abdominal tenderness 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. 0.5 out of 0.5 abdominal discomfort 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. 0.5 out of 0.5 distended abdomen 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. 0.5 out of 0.5 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. 0.5 out of 0.5 Self Assessment Planning 5.5 out of 5 Short-Term Goal Student Response Model Answer Explanation Points Earn 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 long-term health but are not an immediate priority. 0.5 out of 0.5 Interventions hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 Student Response Model Answer Explanation Points Earn Administer a mineral oil based enema with physician’s order (no refills) 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. 0.5 out of 0.5 Assess and fulfill patient needs for ambulating to the bathroom 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. 0.5 out of 0.5 Have patient ambulate the length of the hallway with patient care tech assistance 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. 0.5 out of 0.5 Provide patient with 500ml of fluid and advise to drink over the next 2 hours 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. 0.5 out of 0.5 Tell patient to leave any outputs unflushed for examination 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. 0.5 out of 0.5 Intervention Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation In 1 or 2 sentences, explain how your selected interventions work to accomplish your goal. na 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 thi particular patient so as not to waste time or put the patient's health at risk. Data Collections Student Response Model Answer Explanation Points Earn hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 Ask about pain rating, abdominal cramping, nausea, and dizziness (subjective) Ask about pain rating, abdominal cramping, nausea, and dizziness (subjective) Some of the appropriate data collections provide information on your short-term 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. 0.5 out of 0.5 Ask about patient outputs, presence of stool, and sense of constipation (subjective) Ask about patient outputs, presence of stool, and sense of constipation (subjective) Some of the appropriate data collections provide information on your short-term 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. 0.5 out of 0.5 Evaluate any stool for amount and qualities (objective) Evaluate any stool for amount and qualities (objective) Some of the appropriate data collections provide information on your short-term 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. 0.5 out of 0.5 Evaluate for physical signs of pain and/or cramping (objective) Evaluate for physical signs of pain and/or cramping (objective) Some of the appropriate data collections provide information on your short-term 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. 0.5 out of 0.5 Perform dehydration tests (skin turgor, dry mouth, urine hat collection) and follow-up as necessary (objective) 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 short-term 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. 0.5 out of 0.5 Discussion Of Care Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 Explain the rationale behind your nursing diagnosis. n/a Given 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 th nursing diagnosis and the rationale behind it to increase their sense of involvement and identify areas for future improvement. Explain your goal for Ms. Park and the interventions and data collections through which you will achieve it. na 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, allowi them to exercise involvement a agency in their own healthcare Explicitly ask for Ms. Park's consent to the Care Plan. n/a Do I have your consent to move forward with these interventions? A patient must consent to all interventions in their Care Plan Disagreements are opportuniti to provide further patient education and to consider alternative options. Inform Ms. Park that an enema may cause side effects, such as abdominal cramping, nausea, dizziness, and diarrhea. thanks As a result of the 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. Intervention & Evaluation 2.5 out of 2 Student Response Model Answer Explanation Points Earn 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. 2.5 out of 2.5 Intervention & Evaluation Rationale Your answer is not automatically evaluated by the simulation, but may be reviewed by your instructor. Prompt Student Response Model Answer Explanation hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 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 bowel elimination. Multiple pieces of data, both subjective and objective, are required to make a credible an careful assessment. © Shadow Health® 2012 - 2020 (800) 860-3241 | Help Desk (https://support.shadowhealth.com/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents (https://www.shadowhealth.com/patents) hTthtpiss:s/t/uwdwywso.cuorucerswehaesrod.ocwomnl/ofaildee/5d4b6y301303060/0E0s8th2e0r1-7P7a2rk1s8-AfrbodmomCoinuarls-ePHaienr-oC.caorme-Polnan0-4S-h0a8d-2o0w2-1H0ea5l:t1h9p:d3f5/ GMT -05:00 [Show More]

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