A nurse is assessing a client to determine level of wellness. The ...

[Pea0909berry]

A nurse is assessing a client to determine level of wellness. The client practices yoga for relaxation several times a week, follows a nutritionally sound diet, and has a supportive, sound relationship with a spouse and several children.
 
  Based on this data, which does this client exemplify?
  A) An emergent high level of wellness in an unfavorable environment.
  B) A high level of wellness in a favorable environment.
  C) Protected poor health in a favorable environment.
  D) An emergent high level of wellness in a favorable environment.

Question 2

The nurse is caring for a client who is 3 days postoperative following an emergency appendectomy.
 
  The nurse is reviewing the client's lab values and notes that the client's calcium levels have increased since before surgery. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?
  A) Measure vital signs every 8 hours.
  B) Assist the client to ambulate around the room at least three times daily.
  C) Irrigate the client's Foley catheter daily.
  D) Assist the client to turn, cough, and deep breathe every 2 hours.

[Zack0mack0101@yahoo.com]

Answer to Question 1

Answer: B

A high level of wellness in a favorable environment involves biopsychosocial, spiritual, and economic resources that support healthy lifestyles. This client meets those criteria. The client is not emerging into high-level wellness; she has already achieved it. An emergent high-level of wellness in an unfavorable environment would be exemplified by a client who has the knowledge to implement healthy lifestyles but does not implement them because of family responsibilities, job demands, or other factors. The client does not have any health problems and therefore does not fit the description of protected poor health.

Answer to Question 2

Answer: B

Hypercalcemia can occur from immobility. Ambulation of the client helps to prevent leaching of calcium from the bones into the serum. None of the other options is related to the development of hypercalcemia.