Community Health HESI

Questions 55

HESI RN

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Community Health HESI Questions

Question 1 of 5

The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?

Correct Answer: C

Rationale: Administering the medication with a small amount of pudding helps prevent aspiration in clients with dysphagia.

Question 2 of 5

The healthcare provider is preparing to administer digoxin (Lanoxin) to a client. Which assessment finding should the healthcare provider report before administering the medication?

Correct Answer: D

Rationale: Seeing halos around lights is a classic symptom of digoxin toxicity, known as visual disturbances. This finding indicates an adverse effect of digoxin and should be reported immediately to the healthcare provider. Monitoring for visual changes is crucial as it can progress to more severe toxicity, leading to life-threatening dysrhythmias or other complications. Apical pulse, serum potassium level, and blood pressure are important assessments when administering digoxin, but the presence of visual disturbances, such as seeing halos around lights, takes precedence due to its direct association with digoxin toxicity. Changes in these other parameters should also be noted and addressed, but they are not the priority when compared to a symptom directly linked to potential toxicity.

Question 3 of 5

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Correct Answer: B

Rationale: Tertiary prevention focuses on managing and improving health outcomes for existing conditions, such as diabetes.

Question 4 of 5

During a 2 wk postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits bad tenderness, shoulder pain, & describes feelings of malaise. Her vital signs are: T 101.8, BP 100/50, HR 104, and RR 18. Which action should the RN take?

Correct Answer: A

Rationale: The client shows signs of a potential postoperative complication that requires immediate hospital assessment.

Question 5 of 5

The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?

Correct Answer: B

Rationale: The client's intake of juice after midnight should be reported due to the increased risk of aspiration while under general anesthesia.

Similar Questions

The nurse is preparing a client for a scheduled surgical procedure. What client statement should the nurse report to the healthcare provider?
A school nurse is organizing a vaccination clinic for middle school students. Which vaccine is most important for the nurse to include?
Community health nurses are particularly concerned with the source of communicable diseases such as hepatitis A. Which group of individuals have a higher risk of contracting that type of hepatitis?
The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?

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