HESI Community Health

Questions 55

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HESI Community Health Questions

Question 1 of 5

During a health assessment for a family with a history of cardiovascular disease, which family member should be prioritized for further evaluation and intervention?

Correct Answer: A

Rationale: The 45-year-old father who smokes and has high cholesterol should be prioritized for further evaluation and intervention. He has multiple risk factors for cardiovascular disease, including smoking and high cholesterol, which significantly increase his risk. Addressing these modifiable risk factors is crucial in preventing cardiovascular events. The daughter (Choice B) and mother (Choice C) also have risk factors, but the father's combination of smoking and high cholesterol places him at higher immediate risk, demanding priority intervention. The 12-year-old son (Choice D) with a normal weight and an active lifestyle has a lower risk profile and does not require immediate intervention compared to the father.

Question 2 of 5

The healthcare professional is developing a program to promote healthy eating habits in a community with high rates of obesity. Which strategy is most likely to be effective?

Correct Answer: B

Rationale: Offering cooking classes that focus on healthy recipes is the most effective strategy among the choices provided. These classes not only provide valuable knowledge about nutrition but also offer hands-on experience in preparing healthy meals. This practical approach can significantly impact participants' behavior and increase the likelihood of them adopting healthier eating habits. Distributing educational pamphlets may not have the same level of engagement and interaction as cooking classes. A social media campaign, while informative, may not result in direct behavioral changes. Providing free health screenings, though beneficial for early detection, does not directly address the promotion of healthy eating habits, unlike the hands-on approach of cooking classes.

Question 3 of 5

The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to administering a scheduled dose of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement?

Correct Answer: A

Rationale: Verapamil slows sinoatrial nodal automaticity and delays atrioventricular nodal conduction, which slows the ventricular rate.

Question 4 of 5

The nurse is providing discharge teaching to a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: A diet low in carbohydrates is not recommended for clients with diabetes mellitus. Clients should follow a balanced diet.

Question 5 of 5

The healthcare provider is caring for a client with a chest tube. Which intervention is most important to include in the plan of care?

Correct Answer: D

Rationale: Keeping the collection chamber below the level of the chest is crucial in caring for a client with a chest tube. This positioning helps ensure proper drainage of fluids and prevents complications such as backflow of drainage into the chest cavity. Option A is incorrect as continuous suction can lead to excessive drainage and tissue damage. Option B is incorrect as clamping the chest tube during client movement can cause a buildup of pressure and compromise proper drainage. Option C is incorrect because clamping the chest tube for extended periods can impede the drainage process, leading to potential complications.

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