Community Health HESI

Questions 55

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Community Health HESI Questions

Question 1 of 5

A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?

Correct Answer: B

Rationale: In Guillain-Barre syndrome, decreased deep tendon reflexes are a critical finding that may indicate impending respiratory failure. This is due to the involvement of the peripheral nervous system affecting the muscles, including those involved in breathing. Reporting decreased deep tendon reflexes promptly is essential to prevent respiratory compromise. Facial weakness, difficulty speaking, and inability to move the eyes are common manifestations of Guillain-Barre syndrome but are not as immediately concerning as respiratory distress and impending respiratory failure.

Question 2 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin) therapy. Which laboratory result indicates that the therapy is effective?

Correct Answer: D

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

Question 3 of 5

The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?

Correct Answer: A

Rationale: Conveniently located clinics in target neighborhoods increase accessibility and are likely to boost immunization rates.

Question 4 of 5

The nurse is assessing a client with pneumonia. Which finding requires immediate intervention?

Correct Answer: C

Rationale: Jugular vein distention indicates increased central venous pressure, which requires immediate intervention in a client with pneumonia.

Question 5 of 5

The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?

Correct Answer: D

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

Similar Questions

The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan?
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which finding requires immediate intervention?
The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?

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