I passed the first care plan exam.
I have a question regarding the scenario. It was like this:
"Had a motor vehicle accident 3 days ago and had severe low back pain; No bowl movement for 2 days, had to go twice Today;used ex-lax regularly. Pain was cured by demerol; currently he has abdominal cramping and bloating and a back pain(9)."
For me this is a clear case of constipation, either due to side effects of demerol or due to the habit of using ex-lax. Pain was already taken care off and was effective with demerol; I kind of think, if you have abnominal bloating, it is going to hit your spine and make the back pain worse.
So my priority nursing diagnosis is constipation, but our instructor says her priority is accute pain. She is the boss and I can't argue with her. I am glad I passed.
What is your opinion about this scenario?
I know elimination is physiological and kind of think pain is safety. Am I right? Where does actually pain fit in Moslow?
Thank you for your help in adavance.