Author Question: A group of nurses have volunteered to go on a health mission to rural Haiti. The majority of the ... (Read 89 times)

Starlight · **on:** Jun 25, 2018

A group of nurses have volunteered to go on a health mission to rural Haiti. The majority of the people the nurses will be working with do not have access to health care and live in poverty.

Based on this data, which level of wellness do the nurses' anticipate when providing care during this mission trip?
A) An emergent high level of wellness in an unfavorable environment
B) Protected poor health in an unfavorable environment
C) Poor health in an unfavorable environment
D) Protected poor health in a favorable environment

Question 2

The nurse is caring for a client receiving a blood transfusion. Ten minutes after the transfusion of a unit of packed red blood cells was initiated, the client complains of a headache.

The nurse assesses that the client has slight shortness of breath and feels warm to the touch. Based on this data, which is the priority intervention for this client?
A) Decrease the rate of the transfusion.
B) Notify the client's health care provider.
C) Prepare to resuscitate the client.
D) Discontinue the transfusion.

jlaineee · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

The health axis extends from peak wellness to death, and the environmental axis extends from very favorable to very unfavorable. A health mission to an environment such as rural Haiti would involve clients who are not being treated for problems because of poor access and who also live in poor environmental conditions such as poverty and substandard sanitation. An emergent high level of wellness in an unfavorable environment would include clients who have the knowledge to implement healthy lifestyle practices but cannot implement them because of other factors or demands. Protected poor health in a favorable environment is where clients have an illness but their needs are met by the healthcare system. These clients have adequate access to appropriate medications, diet, and health care instruction. Protected poor health in an unfavorable environment is not one of Dunn's quadrants.

Answer to Question 2

Answer: D

The priority intervention is to discontinue the transfusion. If this client is having a transfusion reaction, it will be better to limit the amount of blood transfused. The nurse would also contact the health care provider to collaborate on further treatment, but this action should be after the transfusion is discontinued. Slowing the rate of the transfusion allows additional blood to be infused. At this point, there is no need to prepare for resuscitation.