What the nursing care plan of the following scenario? Ms. Dela Cruz, 25 years of age, presents
Question:
What the nursing care plan of the following scenario? Ms. Dela Cruz, 25 years of age, presents to the triage nurse at the local emergency department complaining of severe generalized abdominal pain. She describes it as sharp and intermittent. She states, “Over the last four (4) days, I haven’t been able to have a bowel movement.” She states that she is able to drink liquids and urinate without difficulty. Bowel sounds are present in all four (4) quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to the touch. She states, “Two weeks ago I felt that my back hurts. My doctor gave me a prescription of Tylenol #3 and I have been taking it every 6 hours for pain.” She denies pain at present. An abdominal x-ray reveals a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.