HESI Community Health

Correct Answer: B

Rationale: Intermittent bubbling in the suction control chamber is the correct observation indicating effective functioning of the chest tube. This bubbling signifies that the suction system is working correctly and maintaining the desired negative pressure in the pleural space. Continuous bubbling in the water-seal chamber suggests an air leak, which is not a normal finding. No fluctuation (tidaling) in the water-seal chamber may indicate a blockage or lack of communication between the pleural space and the water-seal, which is not ideal. Drainage of clear, pale yellow fluid from the chest tube is a normal finding, but it does not specifically indicate the effectiveness of the chest tube function.

Correct Answer: A

Rationale: Antihistamines help reduce pruritus by blocking histamine receptors and are often prescribed for clients with chronic kidney disease experiencing pruritus.

Correct Answer: C

Rationale: A serum creatinine level of 1.0 mg/dL is within the normal range, but weight gain of 2 pounds in 24 hours indicates fluid retention and requires immediate intervention.

Correct Answer: A

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

Correct Answer: A

Rationale: The healthcare professional should prioritize conducting home visits to identify asthma triggers as it is crucial for reducing asthma attacks in children. By identifying triggers in the home environment, interventions can be implemented to create a safer living space for children with asthma. Distributing asthma education materials at schools may be helpful, but addressing triggers at the source is more direct and impactful. Holding workshops on asthma management for parents is valuable, but identifying triggers should come first to prevent asthma exacerbations. Partnering with local healthcare providers to offer free asthma screenings focuses on detection rather than prevention through trigger identification.