Aa
A
A
Close
Avatar universal
nursing care plan (case)
Ms. kas, 29 years old, presents to the triage nurse at the local emergency department, complaining of severe general;ized abdominal pain. She describes the pain as sharp and intermittent. She states, "Over the last four days, I have not been able to have a bowel movement." She states that she is able to drink liquids and is urinating without difficulty. Bowel sounds are present in all four quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, "two weeks ago I feel and hurt my back. My doctor gave me a prescription for Tylenol #3 and i have been taking it every six hours for pain. " She denies pain at the present time. Abdominal X rays reveal a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.

Questions:
1. make nursing care plan,
nursing diagnoses,
and nurses notes
regarding this case.



This discussion is related to distended stomach.
Cancel
3 Answers
Page 1 of 1
320329 tn?1297772552
Im no nurse, but my first thought was the tylenol 3.  Codeine constipation - happens every time I take it.  Two weeks/every six hours is alot of time on it, blah.  Id be hurtin too.  Just my untrained two cents.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
Avatar universal
Does the same to me to, anything with codeine bungs me up for days and gives me severe tummy ache.  I use an ibuprofin based pain reliever now like Volteral/diclofenac
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
320329 tn?1297772552
yup inteks - the codeine and lack of physical activity from the back injury - that poor lady may wanna step down from the Tylenol 3.  My tummy hurt just from reading that case history...lol.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
Your Answer
Avatar universal
Answer
Do you know how to answer? Tap here to leave your answer...
Answer
Answer
Post Answer
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Gastroenterology Community Resources