HESI Community Health

Questions 55

HESI RN

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HESI Community Health Questions

Question 1 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.

Question 2 of 5

The nurse is preparing to administer a scheduled dose of digoxin (Lanoxin) to a client. Which assessment finding should the nurse report to the healthcare provider?

Correct Answer: D

Rationale: Seeing halos around lights is a symptom of digoxin toxicity, which should be reported to the healthcare provider.

Question 3 of 5

A client with a history of peptic ulcer disease is admitted with severe epigastric pain. Which finding requires immediate intervention?

Correct Answer: D

Rationale: Rebound tenderness can indicate peritonitis, which requires immediate intervention.

Question 4 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 5 of 5

A client with a history of heart failure is admitted with severe dyspnea. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Placing the client in a high Fowler's position helps improve breathing and oxygenation in clients with severe dyspnea.

Similar Questions

A client with a history of heart failure is admitted with severe dyspnea. Which intervention should the nurse implement first?
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After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
A public health nurse is planning a smoking cessation program for a local community. Which component is most important to include in the program?
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