HESI RN TEST BANK

HESI Community Health

The nurse is developing a community health program to address the high rates of hypertension in a neighborhood. Which intervention should the nurse prioritize?

    A. conducting free blood pressure screenings

    B. distributing educational materials on hypertension

    C. holding workshops on stress management

    D. partnering with local gyms to offer discounted memberships

Correct Answer:
Rationale: Conducting free blood pressure screenings helps identify individuals with hypertension and connects them to necessary medical care.

The healthcare professional is developing a program to educate parents on childhood nutrition. Which topic should be prioritized?

  • A. the benefits of organic foods
  • B. how to read nutrition labels
  • C. the importance of a balanced diet
  • D. ways to incorporate more vegetables into meals

Correct Answer: C
Rationale: Prioritizing the topic of the importance of a balanced diet is crucial as it provides a fundamental understanding for parents to establish healthy eating habits for their children. Understanding the importance of a balanced diet helps parents make informed decisions about food choices, portion sizes, and meal planning. Option A, focusing on the benefits of organic foods, while valuable, may not be feasible or affordable for all families. Option B, teaching parents how to read nutrition labels, is important but secondary to understanding the overall concept of a balanced diet. Option D, discussing ways to incorporate more vegetables into meals, is beneficial but should come after establishing the foundation of a balanced diet.

A client with chronic kidney disease is experiencing pruritus. Which intervention should the nurse include in the plan of care?

  • A. Administer antihistamines as prescribed.
  • B. Apply moisturizing lotion to the skin.
  • C. Use cool water for bathing.
  • D. Encourage a high-protein diet.

Correct Answer: A
Rationale: Antihistamines help reduce pruritus by blocking histamine receptors and are often prescribed for clients with chronic kidney disease experiencing pruritus.

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 clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?

  • A. demonstrate proper foot care to client and family
  • B. have a home health aide assist client with hygiene weekly
  • C. schedule an appointment for the client with podiatrist
  • D. trim the clients toenails gradually over several visits

Correct Answer: C
Rationale: Scheduling an appointment with a podiatrist ensures that the client receives professional foot care.

The healthcare provider is preparing to administer intravenous immune globulin (IVIG) to a client with Guillain-Barre syndrome. Which assessment is most important before initiating the infusion?

  • A. Lung sounds and respiratory status.
  • B. Skin integrity and color.
  • C. Neurological status and level of consciousness.
  • D. Cardiac rate and rhythm.

Correct Answer: D
Rationale: The correct answer is D, "Cardiac rate and rhythm." Monitoring cardiac rate and rhythm is crucial before initiating IVIG because bradycardia is a common side effect associated with this therapy. Assessing lung sounds and respiratory status (Choice A) is important, but cardiac monitoring takes precedence due to the risk of bradycardia. Skin integrity and color (Choice B) are important assessments, but they are not directly related to potential complications of IVIG infusion. Neurological status and level of consciousness (Choice C) are also vital assessments, but monitoring cardiac function is more pertinent in this scenario.

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