Community Health HESI 2023 Quizlet

Community Health HESI 2023 Quizlet Related

Review Community Health HESI 2023 Quizlet related questions and content

The nurse is providing care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result requires immediate intervention?

  • A. Serum sodium of 140 mEq/L.
  • B. Serum potassium of 4.5 mEq/L.
  • C. Serum osmolality of 280 mOsm/kg.
  • D. Serum sodium of 130 mEq/L.
Correct Answer: D

Rationale: The correct answer is D: Serum sodium of 130 mEq/L. In SIADH, there is excess release of antidiuretic hormone leading to water retention and dilutional hyponatremia. A serum sodium level of 130 mEq/L indicates severe hyponatremia, which can result in neurological symptoms, such as confusion, seizures, and coma. Therefore, immediate intervention is required to prevent further complications. Choice A, a serum sodium of 140 mEq/L, is within the normal range and does not require immediate intervention. Choice B, serum potassium of 4.5 mEq/L, is also within the normal range and is not directly related to SIADH. Choice C, serum osmolality of 280 mOsm/kg, is a measure of the concentration of solutes in the blood and may not be the most critical parameter to address in a client with SIADH and severe hyponatremia.

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The nurse is conducting a process evaluation of a prevention education program for older adults who are at risk for substance abuse. Which data source provides the information the nurse needs to conduct this process evaluation?

  • A. client's score on an alcohol screening instrument
  • B. results of a urine drug and alcohol screen
  • C. most recent community census data
  • D. documentation of client education in the nursing record
Correct Answer: D

Rationale: The correct answer is D. Documentation of client education in the nursing record provides information on the implementation and progress of the educational program, which is crucial for evaluating its process. Choices A and B focus on individual client assessment rather than program evaluation. Choice C, community census data, is not directly related to evaluating the process of the prevention education program for older adults at risk for substance abuse.

The healthcare provider is assessing a client who has returned from hemodialysis. Which finding requires immediate intervention?

  • A. Weight gain of 1 pound.
  • B. Dizziness.
  • C. Fatigue.
  • D. Muscle cramps.
Correct Answer: D

Rationale: After hemodialysis, muscle cramps can indicate an electrolyte imbalance, such as low potassium or magnesium levels, which requires immediate intervention to prevent potential complications like cardiac arrhythmias. Weight gain of 1 pound, dizziness, and fatigue are common post-hemodialysis symptoms that may not necessarily require immediate intervention unless they are severe or persisting.

The healthcare provider is assessing a client who is receiving total parenteral nutrition (TPN). Which finding requires immediate intervention?

  • A. Blood glucose level of 150 mg/dL.
  • B. Weight gain of 2 pounds in 24 hours.
  • C. Decreased urine output.
  • D. Temperature of 100.3°F (37.9°C).
Correct Answer: C

Rationale: Decreased urine output in a client receiving total parenteral nutrition (TPN) requires immediate intervention because it can indicate potential complications such as fluid overload or kidney dysfunction. Monitoring urine output is crucial in assessing renal function and fluid balance in patients on TPN. A blood glucose level of 150 mg/dL is within a normal range and may not require immediate intervention. Weight gain of 2 pounds in 24 hours could be a concern but may not be as urgent as addressing decreased urine output. A temperature of 100.3°F (37.9°C) is slightly elevated but may not be directly related to TPN administration unless there are other symptoms of infection present.

The healthcare provider is planning a health education session for new parents on infant care. Which topic should be prioritized?

  • A. signs of infant dehydration
  • B. proper diaper changing techniques
  • C. immunization schedule
  • D. breastfeeding positions
Correct Answer: A

Rationale: Recognizing signs of infant dehydration is crucial for ensuring the health and well-being of infants. Dehydration can be life-threatening for infants if not addressed promptly. Proper diaper changing techniques, while important for hygiene, can be learned incrementally. The immunization schedule and breastfeeding positions are also essential topics, but identifying signs of dehydration takes precedence as it requires immediate attention to prevent serious complications.

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

  • A. the benefits of car seats
  • B. how to childproof the home
  • C. the importance of helmet use
  • D. ways to prevent drowning
Correct Answer: B

Rationale: Prioritizing the topic of how to childproof the home is crucial as it provides a holistic approach to safeguarding children from various injuries within the home environment. Childproofing the home addresses a wide range of hazards such as falls, burns, poisoning, and choking incidents. While topics like the benefits of car seats, the importance of helmet use, and ways to prevent drowning are important, childproofing the home covers a broader spectrum of safety measures that can significantly reduce the risk of injuries for children.

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