HESI RN TEST BANK
HESI Community Health
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?
A. Call the pharmacy to determine what medications she is taking
B. Seek the family's assistance in taking care of the client
C. Complete a physical and mental exam on the client
D. Call the adult protective services to obtain emergency nursing home placement
Correct Answer:
Rationale: In this scenario, the nurse should prioritize completing a physical and mental exam on the client. This action is crucial to assess the client's health status comprehensively and identify any underlying issues contributing to her unkempt appearance, odor of stale urine, and confusion. Calling the pharmacy to determine medications (Choice A) may be important but is not the immediate priority. Seeking family assistance (Choice B) can be helpful, but the client's condition requires a thorough assessment first. While adult protective services (Choice D) may be necessary in the future, the immediate action should be to assess the client's physical and mental health status.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program?
- A. evaluate the teachers' ability to identify pediculosis capitis 2 months after initiation of the program
- B. conduct an initial examination of each child in the school to obtain baseline data
- C. survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition
- D. measure the prevalence of pediculosis capitis among the children after four months
Correct Answer: D
Rationale: Measuring the prevalence after four months provides data on the program's long-term effectiveness.
An older adult client visits the community health clinic and reports the onset of pain, redness, and swelling of the right eye. Which question is most important for the clinic nurse to ask the client?
- A. do you have any discharge from the eye
- B. have you started any new prescriptions
- C. are all of your immunizations current
- D. how often do you wash your hands
Correct Answer: B
Rationale: New medications can have side effects that include eye issues, so it is important to determine if there is a link.
The nurse is teaching a group of new mothers about infant care. Which topic should the nurse prioritize?
- A. signs of infant dehydration
- B. proper diaper changing techniques
- C. immunization schedule
- D. breastfeeding positions
Correct Answer: A
Rationale: Recognizing signs of dehydration is crucial for ensuring the health and well-being of infants.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
- A. Abruptly stop the medication.
- B. Continue the medication at the same dose.
- C. Ask the healthcare provider about tapering the drug dose over the next week.
- D. Increase the dose of the medication.
Correct Answer: C
Rationale: Gradually tapering the dose over one to two weeks should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias.