As a student nurse assigned to the emergency room, you are in charge of a 24-year-old male patient who was admitted

for acute abdominal pain.

The patient verbalizes “My whole tummy hurts it’s like there is a sharp pain in the middle of my tummy”. The patient shows presence of grimace
and crying, looks pale and weak, and the skin is also hot to touch. When asked about the rate of pain, the patient verbalizes “If I were to describe
the feeling of pain I have right now it would be 9 out of 10”. The patient also reported having gone to the bathroom frequently for the past hours
and has vomited. When asked about the onset of the pain, the patient stated that “It all started after when I ate the soup in the canteen where I was
at. The patient’s vital signs are as follows: BP: 110/70, Temp: 37.8 C, PR: 97, RR: 16 cpm.

ASSESSMENT
Subjective:
“My whole tummy hurts
it’s like there is a sharp
pain in the middle of my
tummy”. As verbalized by
the patient.
“If I were to describe the
feeling of pain I have right
now it would be 9 out of
10”
The patient also reported
having gone to the
bathroom frequently for
the past hours and has
vomited.
Objective:
 Patient shows signs of
crying and grimace.
 Patient appears to be
NURSING
PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Diarrhea related to After 4 hours of nursing Independent:  The patient verbalizes
food poisoning as intervention the patient relief of pain
evidenced by “My will experience as Advise the patient to - Because some food is
whole tummy hurts it’s follows: check the food that he is not prepared neatly and  The patient regains
like there is a sharp pain ingesting before eating. safely, which is why it normal body
in the middle of my  The patient will is important to do a temperature.
tummy” as verbalized verbalize relief of background check on
by the patient. pain the food establishment
that you’re eating  The presence of grimace
 The patient will is not seen from the
regain normal body - Diarrhea causes severe patient.
temperature. water loss from the
- Weigh the patient and body. As a result, the
note decreased weight body loses weight. An  The patient can defecate
 The presence of
accurate daily weight is normally.
grimace will not be
seen from the an important indicator
patient. of fluid balance in the
 The patient shows no
body.
sign of weakness.
 The patient will
defecate normally.
- To check if there are
 The patient will not any abnormal findings
show any sign of so that they can be
weakness. - Assess for patient’s noted immediately.
vital signs
- To judge the motility
of bowels; patency of
vessels in the abdomen.
 weak
 Looks pale - Auscultate the
 Skin is hot to touch. abdomen for the - May indicate presence
presence, location, and of fecal impaction.
characteristics of bowel
sounds - Diarrhea can lead to
profound dehydration.
- Determine if A prolonged episode of
incontinence is present diarrhea or vomiting
can push the body to
- Determine hydration lose more fluid than it
status by assessing can take in.
input and output.
- Diarrhea can be
defined by increased
stool frequency,
liquidity, or volume

- Check for the stool’s

volume, frequency, and
characteristics.
-

- To relieve pain and

help bowel movement.

Dependent:
- To replace water and
- Administer electrolyte loss in
medications such as patients with diarrhea.
laxatives and pain
medication as per
doctor’s order.
- To check the abdomen
- Administer LR IV if there is any other
fluids as per doctor’s underlying
order. complication, and to
check the values of the
patient’s electrolyte and
Collaborative: blood if they are
normal.
- Obtain laboratory
results such as CBC,
Electrolyte Panel Test,
Lipase Test, Urinalysis.