Community Health HESI

Correct Answer: D

Rationale: In a client with COPD admitted with pneumonia, a productive cough with green sputum indicates a potential bacterial infection. Green sputum is commonly associated with bacterial pneumonia, which requires immediate intervention with appropriate antibiotics. Monitoring oxygen saturation, respiratory rate, and heart rate are essential in COPD patients, but the presence of green sputum suggests an urgent need for targeted treatment to address the underlying infection. Oxygen saturation of 88% is concerning but may not directly indicate the need for immediate intervention in the absence of other critical symptoms. Respiratory rate of 24 breaths per minute and a heart rate of 90 beats per minute are within normal limits and may not be indicative of an acute issue requiring immediate intervention in this context.

Correct Answer: B

Rationale: Hypokalemia is a common electrolyte imbalance in clients with a nasogastric tube to continuous suction because potassium is lost through gastric fluids.

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: Training for teachers equips them with the skills and knowledge to effectively intervene and handle bullying incidents, creating a safer school environment.

Correct Answer: A

Rationale: Obsessive thoughts are thoughts that the client is unable to control.