Questions 9

HESI RN

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Community Health HESI Questions

Question 1 of 5

The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory result requires immediate intervention?

Correct Answer: D

Rationale: Corrected Rationale: An arterial blood pH of 7.30 indicates the client is in acidosis, which is a life-threatening condition in DKA. Immediate intervention is required to correct the acidosis and prevent further complications such as organ failure or coma. Blood glucose of 250 mg/dL is elevated but not an immediate threat to life in comparison to acidosis. Serum potassium of 3.5 mEq/L and serum sodium of 135 mEq/L are within normal ranges and do not warrant immediate intervention in the context of DKA.

Question 2 of 5

The nurse is caring for a client with Addison's disease. Which finding requires immediate intervention?

Correct Answer: B

Rationale: Low blood pressure in a client with Addison's disease requires immediate intervention as it can indicate an Addisonian crisis, a life-threatening condition that necessitates prompt treatment. Hyperpigmentation of the skin is a characteristic finding in Addison's disease but does not require immediate intervention. Nausea and vomiting can be managed symptomatically in Addison's disease. While hypoglycemia needs attention, it is not the most critical finding requiring immediate intervention in this context.

Question 3 of 5

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?

Correct Answer: A

Rationale: Conveniently located clinics in target neighborhoods increase accessibility and are likely to boost immunization rates.

Question 4 of 5

The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?

Correct Answer: B

Rationale: Access to trauma care is crucial in rural areas due to the potential for delayed emergency response times.

Question 5 of 5

A client with a history of hypertension is admitted with a blood pressure of 200/120 mm Hg. Which medication should the nurse prepare to administer?

Correct Answer: D

Rationale: Nitroprusside (Nipride) is a vasodilator used to rapidly reduce blood pressure in hypertensive emergencies.

Similar Questions

A client with a history of hypertension is admitted with a blood pressure of 200/120 mm Hg. Which medication should the nurse prepare to administer?
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 public health nurse is working with a community to improve access to mental health services. Which intervention is most likely to be effective?
The healthcare provider is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding requires immediate intervention?
A public health nurse is developing a campaign to promote breast cancer screening. Which population should be the primary target of this campaign?

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