Community Health HESI

Correct Answer: D

Rationale: An INR of 2.5 indicates that warfarin therapy is within the therapeutic range for a client with atrial fibrillation.

Correct Answer: D

Rationale: A serum sodium level of 130 mEq/L indicates hyponatremia, which requires immediate intervention in a client with SIADH.

Correct Answer: B

Rationale: Changing the colostomy bag every week is not sufficient; it should be changed more frequently to prevent leakage and skin irritation.

Correct Answer: B

Rationale: Low blood pressure in a client with Addison's disease requires immediate intervention as it can indicate an Addisonian crisis, a life-threatening condition that necessitates prompt treatment. Hyperpigmentation of the skin is a characteristic finding in Addison's disease but does not require immediate intervention. Nausea and vomiting can be managed symptomatically in Addison's disease. While hypoglycemia needs attention, it is not the most critical finding requiring immediate intervention in this context.

Correct Answer: D

Rationale: Understanding the specific demographics, health needs, and challenges faced by the target population (migrant farm workers' children) is essential to designing an effective and relevant immunization program.