HESI Community Health

Questions 55

HESI RN

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HESI Community Health Questions

Question 1 of 5

A client who is receiving intravenous heparin therapy has an activated partial thromboplastin time (aPTT) of 90 seconds. Which action should the nurse take?

Correct Answer: D

Rationale: An aPTT of 90 seconds is significantly elevated, indicating a high risk of bleeding due to excessive anticoagulation. In this case, the heparin infusion should be stopped immediately to prevent further anticoagulation and an increased bleeding risk. Notifying the healthcare provider is essential to discuss alternative anticoagulation strategies or interventions. Continuing heparin therapy without action could lead to severe bleeding complications. Decreasing or increasing the heparin infusion rate would exacerbate the risk of bleeding, making options A, B, and C incorrect.

Question 2 of 5

The nurse is providing discharge teaching to a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: A diet low in carbohydrates is not recommended for clients with diabetes mellitus. Clients should follow a balanced diet.

Question 3 of 5

A nurse is planning a community event to raise awareness about mental health. Which activity should be included to best engage participants?

Correct Answer: B

Rationale: Interactive workshops on stress management actively involve participants and provide practical skills they can use to manage their mental health.

Question 4 of 5

A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next?

Correct Answer: C

Rationale: Atenolol, a beta-blocker, should be administered because the client's apical pulse is greater than 60.

Question 5 of 5

The healthcare provider is caring for a client with a chest tube. Which observation indicates that the chest tube is functioning effectively?

Correct Answer: B

Rationale: Intermittent bubbling in the suction control chamber is the correct observation indicating effective functioning of the chest tube. This bubbling signifies that the suction system is working correctly and maintaining the desired negative pressure in the pleural space. Continuous bubbling in the water-seal chamber suggests an air leak, which is not a normal finding. No fluctuation (tidaling) in the water-seal chamber may indicate a blockage or lack of communication between the pleural space and the water-seal, which is not ideal. Drainage of clear, pale yellow fluid from the chest tube is a normal finding, but it does not specifically indicate the effectiveness of the chest tube function.

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