community health hesi Community Health HESI - Nursing Elites
Logo

Nursing Elites

HESI RN

Community Health HESI

1. 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: The correct answer is B. Tertiary prevention focuses on managing and improving health outcomes for existing conditions, such as diabetes. Demonstrating foot care to clients with diabetes aligns with this level of prevention by helping to prevent complications and promote better health outcomes. Choices A, C, and D do not specifically target existing conditions or chronic diseases, which are the focus of tertiary prevention programs.

2. A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

3. What is the most important information for a nurse to obtain when an older female client expresses not deserving to eat due to lack of money?

Correct answer: A

Rationale: The correct answer is A: Client's thoughts about wanting to hurt herself. When a client expresses not deserving to eat due to lack of money, it raises concerns about her mental and emotional well-being. Assessing for suicidal ideation is crucial in this situation to ensure the client's immediate safety. Options B, C, and D are not the most critical information to obtain in this scenario. While medication history, family support, and community resources are important aspects of care, in this context, the client's mental health and risk of self-harm take precedence.

4. 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 correct answer is B. The client's statement of drinking juice after midnight should be reported to the healthcare provider. Consuming liquids after midnight can increase the risk of aspiration during surgery under general anesthesia. Choices A, C, and D are not as critical to report for the client's safety during the surgical procedure. Anxiety about surgery, latex allergy, and postoperative nausea, although important for overall care, do not pose immediate risks during the surgical preparation as the intake of fluids does.

5. The nurse is caring for a client with Addison's disease. Which finding requires immediate intervention?

Correct answer: B

Rationale: Low blood pressure in a client with Addison's disease requires immediate intervention as it can indicate an Addisonian crisis, a life-threatening condition that necessitates prompt treatment. Hyperpigmentation of the skin is a characteristic finding in Addison's disease but does not require immediate intervention. Nausea and vomiting can be managed symptomatically in Addison's disease. While hypoglycemia needs attention, it is not the most critical finding requiring immediate intervention in this context.

Similar Questions

The nurse is caring for a client with Addison's disease. Which finding requires immediate intervention?
During a home health visit, the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the client's feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
During a home visit, the nurse observes that an elderly client has a cluttered living environment and poor lighting. What should the nurse do first?
The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate intervention?
A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?
ATI TEAS 7 Exam Overview

Access More Features

HESI RN Basic
$69.99/ 30 days

  • 50,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access @ $69.99

HESI RN Premium
$149.99/ 90 days

  • 50,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access @ $149.99