Community Health HESI

Community Health HESI Related

Review Community Health HESI related questions and content

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

  • A. Serum osmolality of 320 mOsm/kg.
  • B. Serum glucose of 600 mg/dL.
  • C. Serum potassium of 4.5 mEq/L.
  • D. Serum sodium of 140 mEq/L.
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.

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The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?

  • A. a lecture on the signs and symptoms of depression
  • B. a workshop on stress management techniques
  • C. a panel discussion with mental health experts
  • D. a booth distributing brochures on mental health resources
Correct Answer: B

Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.

The nurse is preparing a presentation on sexually transmitted infections (STIs) for a group of high school students. Which strategy is most effective for this age group?

  • A. providing detailed statistical data on STI rates
  • B. distributing brochures about STI prevention
  • C. showing a documentary on the impact of STIs
  • D. facilitating a discussion on safe sex practices
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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: Failed to generate a rationale of 500+ characters after 5 retries.

Community health nurses are particularly concerned with the source of communicable diseases such as hepatitis A. Which group of individuals have a higher risk of contracting that type of hepatitis?

  • A. IV drug users who share needles
  • B. low-income families living in cramped quarters
  • C. those who have recently received a blood transfusion
  • D. sexually active persons with multiple partners
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

During a 2 wk postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits bad tenderness, shoulder pain, & describes feelings of malaise. Her vital signs are: T 101.8, BP 100/50, HR 104, and RR 18. Which action should the RN take?

  • A. have the client transported via ambulance to the hospital
  • B. recheck the client's vital signs in 30 minutes
  • C. instruct the client to drive to the hospital for admission
  • D. determine the client's current symptoms
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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