CHAPTER 2 Selected Nursing Diagnoses, Interventions, Rationales, and Documentation Nursing Diagnosis ACTIVITY INTOLERANCE NDx Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities CLINICAL MANIFESTATIONS: Subjective Objective Verbal report of fatigue or weakness Abnormal heart rate or blood pressure … Abdominal pain is one of the most common complaints by patients, and assessment of abdominal pain and associated symptoms can be challenging for home healthcare providers. If liquid or gas can not exit freely, abdominal distension can occur. Im a second semester nursing student and have a patient for this week who presented to the ER with abdominal pain (8 on a 1-10 scale). Nursing interventions. Early diagnosis= less electrolyte derangement and shorter LOS QUESTIONS CASE STUDY #4 9 mos old male with abdominal pain, emesis and bloody stool One week prior had been to ER for poor feeding and emesis No PMH/PSH. 2006; 31(7):38–47. Desired Outcomes Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain. Gastritis Nursing Diagnosis 1. NURSING CARE PLAN Acute Pain ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Mr. C. is a 57-year-old businessman who was admitted to the sur- gical unit for treatment of a possible strangulated inguinal hernia. May be related to-Injuring agents (biological, chemical, physical, psychological) Possibly evidenced by-Patient’s report of pain-Guarded and protective behavior-Loss of appetite-Inability to perform Activities of Daily Living -Narrowed focus-Autonomic responses-Changes in … Subjective cues: P H Y S I O L O G I C Within the 8 hours of duty, the patient should be able to: In such cases, a person who is constipated may feel uncomfortable because of not having the normal defecation … A 34-year-old member asked: what is a nursing diagnosis for chf? Urgency. Existing UTI or respiratory infection can also be a risk factor. Risk for infection r / t Inadequate primary defenses. Postoperative or-ders include NPO, intravenous infusion of D51/2 NS at … 4. Early initiation of treatment / clinical care and symptom management within benchmark time. Risk for Infection. A good urine sample for microscopic analysis can help avoid confusion, says Mallon. 2007; 56(6):474–476. Nurse Pract. Observe for signs of infection or inflammation. Duplex ultrasonography or computed tomography (CT) Primary Nursing Diagnosis . Objective: Restless Pacing Rigid abdomen Selffocused Wrinkled nose Raised upper lips Rapid breathing Rated pain as 7/10 in a pain scale of 010. It is important for the novice family nurse practitioner student to take all the appropriate steps to accurately diagnose abdominal pain. Auscultation may reveal increased bowel sounds. It is also very important to remember that a sudden onset of severe abdominal pain, especially if accompanied by fever and/or nausea and vomiting, should be evaluated immediately, as it could be a medical emergency (Jarvis, 2012). Risk for imbalanced nutrition: less than body requirements r / t inability to digest food. Top answers from doctors based on your search: Disclaimer. doi: 10.1097/01.EEM.0000547530.66706.1c. Risk for Fluid Volume Deficit Expected outcomes: 1. nursing diagnosis abdominal pain. The Case Files. Chest radiograph, angiogram, transesophageal echocardiography, and magnetic resonance imaging(MRI). Pros and Cons of Diagnostic Tools for Abdominal Pain in Various Disease Entities; References . Asking for details about the pain helps to determine the origin. View Full Text | PubMed | CrossRef; Richardson E, Paulson CP, Hitchcock K, Gerayli F. History, exam, and labs: Is one enough to diagnose acute adult appendicitis? Loose stools. Two days ago he had a partial bowel resection. 6. Risk for Infection related to inadequate … Nursing Diagnosis for Diabetes Mellitus Nursing diagnoses in patients with diabetes mellitus (Doenges, 1999) are: ... Less Than Body Requirements related to insulin insufficiency, decreased oral input: anorexia, nausea, a full stomach, abdominal pain, change in consciousness: hypermetabolism status, the release of stress hormones. 39 years experience Nephrology and Dialysis. "what is the nursing care for abdominal aortic aneurysm?" Constipation is the state wherein there is decrease in the frequency of excreting body waste which can be associated with inability to pass out stools or there is a presence of hardened stool that is difficult to excrete. Inspection and palpation may reveal abdominal distention, tenderness, and guarding. Edema,sob,weakness: Although, this could be caused by other diseases, CHF is the first thing that should come to your mind if you have a patient with increasing leg edema ... Read More. Electrolytes, urinary output, and patient mental status should be monitored … Nursing Care Plan 2. 0.5 out of 0.5 Diagnosis Student Response Model Answer Explanation Points Earne constipation constipation Ms. Park has not had a bowel movement in five days, and shows subjective and … Ineffective Individual Coping 5. Focused Exam: Abdominal Pain Results | Turned In Health Assess - Spring 1 Reasons for abdominal pain are related to inflammation, organ distention, and ischemia. Example: Pain due to myocardial infarction can radiate to the epigastrium, therefore, is a referred pain to the abdomen but is not of abdominal … Knowledge Deficit: (diagnosis and treatment) 3. 1. Acute pain … Dr. Oliver … 5. Assessment and differential diagnosis of abdominal pain. An Unusual Diagnosis for Abdominal Pain. Abdominal distension may result from fat, flatus, fetus (pregnant or intra-abdominal mass, ectopic pregnancy) or a liquid. Abdominal pain that is most intense at McBurney’s point; Rebound tenderness and abdominal rigidity; Low-grade fever; Elevated white blood cell count; Anorexia, nausea, and vomiting ; Client in side-lying position, with abdominal guarding and legs flexed; Constipation or diarrhea; Diagnostic Evaluation . … 50 gastrointestinal nursing vol 8 no 7 September 2010 clinical skills Assessing abdominal pain through history taking and physical examination Abdominal pain can be a distressing experience for patients and presentations in primary or acute care pose diagnostic challenges to practitioners. The nurse explains that an important difference between diverticulosis and diverticulitis is which of the following? Your role in this simulation is that of a healthcare provider who will conduct a focused history and physical examination of Ms. Park in order to assess her condition and transfer her care. nursing care plan for abdominal pain. Abdominal or lower back pain; Diagnostic Evaluation . The best Diverticulitis Nursing Diagnosis are: ... as the client reports disturbed sleep and feels much pain in his abdominal region and so can’t sleep well. J Fam Pract. Liquids and gases are normal in the GIT, but not in the peritoneal space. Brunner & Suddarth's Textbook of Medical-Surgical Nursing … Hyperactive bowel sounds. The history and physical examination are … Patients are … Nursing Diagnosis # 1 Ne ed Desired Outcome Acute pain related to abdominal incision. Acute Pain 2. Symptoms: Infection can be caused due to high glucose levels, changes in circulation or decrease in functioning of leukocytes. Risk for fluid volume deficit related to hemorrhage; Other Diagnoses that may occur in Nursing Care Plans For Abdominal Aortic Aneurysm. Diarrhea; May be related to. Risk for fluid volume deficit r / t bleeding. Frequency of stools (more than 3x a day). Nursing Diagnosis # 1 Acute Pain Related to Abdominal Incision. Author Information Authors; Article Outline Outline; Article Metrics Metrics; Mr. Bhardwajis a third-year medical student at the University of … Because so many diseases can present with abdominal pain, the key to building a differential diagnosis in such cases is performing a detailed history … Esther park abdominal pain focused shadow health assessment transcript, objective, subjective solved. Diagnosis is based on a complete physical examination and laboratory and … A 31-year-old member asked: what is the nursing care for abdominal aortic aneurysm? Ensure good hygiene is maintained. Abdominal pain. Nursing Care Plan For Nursing Diagnosis: Constipation. Pain having an origin outside of the abdominal territory is termed as referred abdominal pain nursing care plan for abdominal pain. Bowel resection … it is important for the novice family nurse practitioner student to take the. Having an origin outside of the following doctors based on your search: Disclaimer back pain ; Evaluation. 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