Author Question: The nurse is working in the role of client health educator. Based on the information in the image, ... (Read 98 times)

Yi-Chen · **on:** Jun 25, 2018

The nurse is working in the role of client health educator. Based on the information in the image, these concepts are components of which topic?

A) Health
B) Wellness
C) Well-being
D) Fitness

Question 2

The nurse is concerned that a client with a fluid imbalance is at risk for an alteration in perfusion. Which assessment data indicates that the client is experiencing an alteration in perfusion?

Select all that apply.
A) Skin turgor 20 seconds
B) Peripheral pulses present and full
C) Capillary refill of nail beds 3 seconds
D) Oriented to person, place, and time
E) Bowel sounds sluggish in all four quadrants

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

Answer to Question 1

Answer: B

The graphic reveals the seven components of wellness. Health is the presence or absence of disease. Well-being is a component of health and is a subjective feeling. Fitness describes components of physical functioning.

Answer to Question 2

Answer: B, C, D

In clients with an altered fluid balance, there is a risk of developing an alteration in perfusion. To determine whether the client's perfusion status is being affected, the nurse should assess pulses, nail beds, and orientation. Full and present peripheral pulses, capillary refill of 3 seconds, and oriented to person, place, and time indicate that the client's perfusion status is being maintained. Skin turgor and bowel sounds would be used to determine whether the fluid imbalance is affecting the client's elimination status. Skin turgor that takes 20 seconds to return to normal and sluggish bowel sounds indicate that the fluid imbalance is affecting the client's elimination status.