hesi-community-health-2021-updated-answers-verified-100

1. During a two-week postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and describes feelings of malaise. Her vital signs are: temperature 101.8F, blood pressure 100/50, heart rate 104 beats/minute, and respirations 18 breaths/minute. Which action should the nurse take? a. Determine the client’s current oxygen saturation rate. b. Instruct the client to drive to the hospital for admission c. Recheck the client’s vital signs in 30 minutes d. Have the client transported via ambulance to the hospital 2. An older man has become increasingly forgetful, frequently eats large quantities of food from refrigerator, and cannot remember when he takes his medications. He has limited mobility to weight-related osteoarthritis in both knees. When assisting the client’s wife with a plan care for the home, which interventions should the nurse suggest? (Select all that apply.) a. Request a referral for motorized wheelchair to assist with mobility. b. Keep a variety of fresh fruits and vegetables that are easily accessible. c. Put medications into a container that organized the pills by the day and time. d. Encourage participation in televised exercise classes to help strengthen muscles. e. Post a sign on refrigerator reminding the client not to eat between meals. 3. The school nurse is assessing heights, weights, and body mass indexed (BMI) of the students who are entering high school. Because a majority of the students are found to be overweight, the nurse plans to develop a program that addresses obesity in this age population. Before initiating this program, what additional information is most important for the nurse to obtain? a. The history of obesity education in the community b. The level of parental concern regarding childhood obesity c. The demographic data for the student population d. An activity report from the physical education department 4. The epidemiological triad can be used to frame strategies for the prevention of farm machinery injuries. Which action should the nurse take to focus on the agent? a. Teach farm workers not to smoke around farm equipment b. Work with legislators to mandate safe tractor design c. Translate written vehicle instructions into picture format d. Provide rehabilitation services to injured farm hands 5. The public health nurse is creating a plan to increase state funding for a local health clinic. Which strategy is likely to be most effective in obtaining funding for the clinic? a. Run the health clinic economically and advertise the services the clinic provides b. Organize concerned citizens to write letters and telephone state representatives c. Described to the media the valuable services provided by the community clinic d. Engage a professional lobbyist to persuade Congress of the local clinic’s value 6. The nurse is documenting the medical history of a young adult male client who was recently diagnosed with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigarettes daily and his father died of a heart attack at the age of 45. Which annual screening is most important for the nurse include? a. Peripheral neuropathy b. Renal insufficiency c. Retinography d. Hyperlipidemia 7. The nurse provides teaching to a group of evacuees in a mass casualty center after a natural flooding disaster. Which information should the nurse including in the teaching plan? (Select all that apply.) a. Wash all fruits and vegetables thoroughly in running tap water. b. Identify all sexual contacts since the evacuation process c. Take all doses of prophylactic prescriptions for diarrhea d. Clean hands using soap, clean water, or waterless antibacterial solutions e. Drink only boiled water or bottled oral rehydration solutions 8. A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to emphasize the amount and types of fat in some foods versus others. What is the best teaching method for the nurse to use? a. Display posters with foods and tell seniors about fat content b. Determine foods most often eaten by this group and discuss the nutritional panel of each product c. Show a movie about cooking with foods that are low in fat but delicious d. Ask each senior to bring a food for others to taste, then estimate the fat contained in these foods 9. An adult male who has diabetes is laid off from his job of 15 years where he had health care benefits. By law, he is provided with Consolidated Omnibus Budget Reconciliation Act (COBRA) benefits. What is likely to be his greatest concern in planning for his health care during the next year? a. Paying for his health care b. Obtaining quality medical care c. Selecting a primary care provider d. Having required lab work completed 10. A prescription for discharge is written for an elderly female client who has asked to be discharged to her home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the nurse implement first? a. Review the home medication schedule with the client and family b. Arrange for a bedside commode to be delivered to the home c. Meet with the case manager to plan a home safety evaluation d. Provide the client with information about medical alert devices 11. The nurse at a migrant health center notes an increased incidence of dermatitis in seasonal farm workers at a local fruit farm. In response to this finding, it is most important for the nurse to obtain which information as a part of a community assessment? a. Availability of fresh water for washing hands after work b. Air pollution levels in the surrounding community c. Number of hours of worker’s exposure to direct sunlight d. Percentage of poisonous plants in the work fields 12. A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take? a. Encourage the teenager to join the swim team instead of the football team b. Notify the parents of problems associated with perspiration for those with eczema c. Tell the teenager to shower with a non-perfumed soaps immediately after practice d. Inform the football coach of the teenager’s skin condition and its manifestations. 13. The wife of an older adult man who has had diabetes mellitus for the past 10 years reports to the home health nurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has a bruised hand and a small abrasion on his left knee. The nurse assess that his neurologic vital signs are stable. To reduce risk for future falls, which assessment is most important for the nurse to obtain? a. Current blood sugar level b. Degree of paresthesia in feet c. Wound healing of knee abrasion d. A1c glycosylated hemoglobin 14. The home health nurse visits a young male client with AIDS who has