Community Health HESI

Correct Answer: A

Rationale: Recognizing signs of dehydration is crucial for ensuring the health and well-being of infants.

Correct Answer: C

Rationale: When the infant suckles at the breast, oxytocin is released by the posterior pituitary to stimulate the 'letdown' reflex and contract the uterus to prevent uterine hemorrhage.

Correct Answer: C

Rationale: A respiratory rate of 26 breaths per minute is an abnormal finding and indicates that the client is experiencing respiratory distress, requiring immediate intervention. This rapid respiratory rate can signify inadequate oxygenation and ventilation. Oxygen saturation of 88% is low but not as immediately concerning as a high respiratory rate, which indicates the body is compensating for respiratory distress. The use of accessory muscles for breathing and a barrel-shaped chest are typical findings in clients with COPD but do not indicate an immediate need for intervention as they are more chronic in nature and may be seen in stable COPD patients.

Correct Answer: C

Rationale: Assessing the client's risk for falls is crucial as a cluttered environment and poor lighting increase the likelihood of falls.

Correct Answer: C

Rationale: Middle-aged adults are at a higher risk for developing hypertension and can benefit most from preventive measures.