HESI RN
Community Health HESI Quizlet
1. The healthcare provider is preparing to administer an intravenous antibiotic to a client with a central venous catheter. Which action is most important?
- A. Flush the catheter with heparin.
- B. Change the dressing at the insertion site.
- C. Check for blood return before administering the antibiotic.
- D. Use sterile technique when accessing the catheter.
Correct answer: D
Rationale: Using sterile technique when accessing the catheter is crucial to prevent infection in clients with a central venous catheter. This action helps maintain asepsis and reduces the risk of introducing pathogens into the catheter system. Flushing the catheter with heparin helps prevent occlusion but is not as crucial as ensuring sterile technique. Changing the dressing at the insertion site is important for assessing the site's condition but does not directly impact the administration of the antibiotic. Checking for blood return is essential to ensure proper catheter function, but sterile technique takes precedence to prevent infections.
2. The nurse is caring for a client who has a chest tube in place following a pneumothorax. The nurse notes that there is continuous bubbling in the water seal chamber of the chest tube drainage system. What action should the nurse take?
- A. Check for kinks in the tubing
- B. Notify the healthcare provider
- C. Replace the chest tube drainage system
- D. Reinforce the chest tube dressing
Correct answer: B
Rationale: The correct action for the nurse to take when observing continuous bubbling in the water seal chamber of the chest tube drainage system is to notify the healthcare provider. Continuous bubbling indicates a possible air leak, and the healthcare provider needs to be informed to assess the situation and take appropriate actions. Checking for kinks in the tubing (Choice A) may be done initially but is not the priority when continuous bubbling is present. Replacing the chest tube drainage system (Choice C) and reinforcing the chest tube dressing (Choice D) are not immediate actions needed in response to continuous bubbling in the water seal chamber.
3. What is the reasonable available distance from all patients to offer Primary Health Care (PHC) services?
- A. Within a 20 Km radius
- B. Within a 15 Km radius
- C. Within a 12 Km radius
- D. Within a 10 Km radius
Correct answer: A
Rationale: The correct answer is within a 20 Km radius. Primary Health Care services should be accessible within a 20 Km radius to ensure adequate coverage for all patients. This distance allows for a reasonable reach while ensuring that individuals can access essential healthcare services in a timely manner. Choices B, C, and D are incorrect as they offer distances that may limit accessibility and coverage, potentially leaving some patients without timely access to necessary healthcare.
4. Which of the following is a common complication of hypertension?
- A. Diabetes.
- B. Heart failure.
- C. Kidney failure.
- D. Stroke.
Correct answer: D
Rationale: The correct answer is D: Stroke. Hypertension can lead to stroke due to the increased pressure on blood vessels in the brain, which can result in reduced blood flow and oxygen to the brain tissue. While choices B (Heart failure) and C (Kidney failure) can be complications of hypertension, they are not as directly associated as stroke. Choice A, Diabetes, is not a direct complication of hypertension but rather a separate condition that can be influenced by various factors. However, stroke is more commonly linked to the increased pressure on blood vessels in the brain in individuals with hypertension.
5. Which intervention should be prioritized by the nurse when assessing tissue perfusion post-above knee amputation (AKA)?
- A. Evaluate the closest proximal pulse.
- B. Observe color and amount of wound drainage.
- C. Observe for swelling around the stump.
- D. Assess the skin elasticity of the stump.
Correct answer: A
Rationale: The correct answer is to evaluate the closest proximal pulse when assessing tissue perfusion post-above knee amputation (AKA). Checking the closest proximal pulse provides the best indication of tissue perfusion in the extremities after an AKA procedure. Observing the color and amount of wound drainage (Choice B) is important for wound care but does not directly assess tissue perfusion. Observing for swelling around the stump (Choice C) may indicate inflammation or fluid accumulation but is not the most direct way to assess tissue perfusion. Assessing the skin elasticity of the stump (Choice D) is more related to skin integrity and wound healing rather than tissue perfusion.