Community Health HESI

Community Health HESI Related

Review Community Health HESI related questions and content

A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?

  • A. Facial weakness and difficulty speaking.
  • B. Decreased deep tendon reflexes in the legs.
  • C. Inability to move the eyes.
  • D. Respiratory distress and cyanosis.
Correct Answer: B

Rationale: In Guillain-Barre syndrome, decreased deep tendon reflexes are a critical finding that may indicate impending respiratory failure. This is due to the involvement of the peripheral nervous system affecting the muscles, including those involved in breathing. Reporting decreased deep tendon reflexes promptly is essential to prevent respiratory compromise. Facial weakness, difficulty speaking, and inability to move the eyes are common manifestations of Guillain-Barre syndrome but are not as immediately concerning as respiratory distress and impending respiratory failure.

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The nurse is assessing a client with pneumonia who is receiving oxygen therapy. Which finding indicates that the therapy is effective?

  • A. The client's respiratory rate is 20 breaths per minute.
  • B. The client's arterial blood gases show a pH of 7.35.
  • C. The client's oxygen saturation is 92%.
  • D. The client's breath sounds are clear.
Correct Answer: A

Rationale: A respiratory rate of 20 breaths per minute indicates effective oxygen therapy. In pneumonia, the respiratory rate typically increases due to the body's effort to improve oxygenation. Option B (pH of 7.35) is related to acid-base balance, not specifically indicating oxygen therapy effectiveness. Option C (oxygen saturation of 92%) is below the normal range (95-100%), suggesting the need for oxygen therapy. Option D (clear breath sounds) is a positive finding but not a direct indicator of oxygen therapy effectiveness.

When assessing the health of a community, what is the most important information for the nurse to obtain?

  • A. life expectancy of clients in the community
  • B. mortality rates in the community
  • C. description of health problems by community leaders
  • D. expressed needs of community members
Correct Answer: D

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

An older female client tells the home health nurse that she has no money, and since she does not deserve to eat, she has not asked anyone to bring her food. What information is most important for a nurse to obtain?

  • A. client's thoughts about wanting to hurt herself
  • B. medication history for antipsychotic agents
  • C. availability of family members to provide meals
  • D. community resources to provide financial aid
Correct Answer: A

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

The nurse is preparing to administer an oral medication to a client with dysphagia. Which action should the nurse take?

  • A. Crush the medication and mix it with applesauce.
  • B. Have the client drink a full glass of water with the medication.
  • C. Administer the medication with a small amount of pudding.
  • D. Place the medication at the back of the client's tongue.
Correct Answer: C

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

The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?

  • A. designated clinics conveniently located in target neighborhoods
  • B. reports decreasing influenza rates during times of greatest prevalence
  • C. legislative proposals that mandate influenza vaccinations for all
  • D. radio announcements about the availability of the influenza vaccine
Correct Answer: A

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

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