Community Health HESI

Correct Answer: C

Rationale: This client is at high risk due to multiple factors, including homelessness, substance abuse, and smoking, which contribute to a higher risk of pneumonia.

Correct Answer: B

Rationale: Understanding why the client forgets to take their medication helps the nurse address the underlying issues and find appropriate solutions.

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: B

Rationale: Access to trauma care is crucial in rural areas due to the potential for delayed emergency response times.

Correct Answer: D

Rationale: The correct answer is 'D.' The client stating 'I may experience some neck swelling' does not indicate a need for further teaching since neck swelling is an expected side effect of radioactive iodine therapy. Choices A and B are correct statements as the client should avoid close contact with pregnant women and children for a few days due to radiation exposure, and dry mouth and taste changes are common side effects. Choice C is redundant with choice D, making D the correct answer.