Community Health HESI

Correct Answer: C

Rationale: Tremors can indicate severe hypoglycemia, which requires immediate intervention to prevent complications.

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: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

Correct Answer: D

Rationale: Nitroprusside (Nipride) is a vasodilator used to rapidly reduce blood pressure in hypertensive emergencies.

Correct Answer: B

Rationale: Reverse isolation precautions protect the client from exposure to microorganisms from others.