HESI Community Health

Questions 55

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HESI Community Health Questions

Question 1 of 5

While assessing a client receiving a blood transfusion, which finding requires immediate intervention?

Correct Answer: C

Rationale: A heart rate of 90 beats per minute requires immediate intervention when assessing a client receiving a blood transfusion. This finding can indicate a potential transfusion reaction, such as a hemolytic reaction or fluid overload, which requires prompt evaluation and management to prevent serious complications. While a temperature of 100.4�F (38�C) may indicate a mild fever, it is not typically an immediate concern during a blood transfusion. A blood pressure of 110/70 mm Hg is within the normal range, and complaints of feeling cold can be addressed but do not indicate an urgent need for intervention compared to the critical nature of a potential transfusion reaction indicated by an elevated heart rate.

Question 2 of 5

Which intervention by the community health nurse is an example of a secondary level of prevention?

Correct Answer: C

Rationale: Administering influenza vaccines is a secondary prevention method aimed at early detection and intervention.

Question 3 of 5

The nurse is providing discharge teaching to a client with a new diagnosis of diabetes mellitus. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: A diet low in carbohydrates is not recommended for clients with diabetes mellitus. Clients should follow a balanced diet.

Question 4 of 5

A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?

Correct Answer: A

Rationale: Offering free blood pressure screenings provides participants with immediate, valuable information about their cardiovascular health.

Question 5 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.

Similar Questions

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?
A community health nurse is developing a program to increase physical activity among adults in the community. Which intervention is most likely to be successful?
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?
The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assesses that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain?
During a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take?

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