Community Health HESI

Correct Answer: A

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

Correct Answer: A

Rationale: Installing a bedside commode provides an immediate solution to the client's difficulty accessing the bathroom.

Correct Answer: D

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

Correct Answer: C

Rationale: This client is at high risk due to multiple factors, including homelessness, substance abuse, and smoking, which contribute to a higher risk of pneumonia.

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.