COMMUNITY HESI QUESTIONS AND ANSWERS GRADED A (2023)

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COMMUNITY HESI QUESTIONS ANDANSWERS GRADED A2 prisoners test positive for TB ✔✔they need a chest x-raya dude comes into the hospital after running a marathon and complains of dizziness and... headache but he already drank a pint of a sports drink ✔✔give more fluids immediatelytreating a patient with cholera ✔✔monitor fluids and electrolytesa guy comes in thinking he has SARS ✔✔put a mask ona group of people most at risk for HIV? ✔✔illegal IV drug usersdoing a presentation on hispanic woman risks of breast cancer, how do you show culturalcompetency? ✔✔make sure the brochure is in English and spanishjust had hip surgery? ✔✔elevate toilet seat in placerhyme for what to avoid on a Mediterranean diet ✔✔meats and sweetsa lady said she doesn't deserve to eat ✔✔assess for risk of suicidea government employee got an envelope with powder in it and it's being tested for anthrax, whatdo you need to tell him in discharge planning? ✔✔come back if flu like symptoms appear within42 daysseveral employees who have a 10 year or longer hx of smoking ask the occupation nurse forassistance with smoking cessation. the RN develops a 2 mo program that includes weekly groupsessions on lifestyle changes and use of OTC products? which measurements providers the bestindication of the programs effectiveness? ✔✔ask the employee to inform the group of they stopsmoking and if they start back up againa public health nurse is called to investigate a report of several cases of chickenpox (varicellavirus) at a day care center. the day care worker states that five child have been sent home overthe past two weeks with fever and itchy blisters. which intervention should the nurse implementfirst? ✔✔validate that the children sent home did develop chickenpoxafter assessing the health care needs of an elementary school, the nurse determines that anincreased prevalence of pediculosis capitiis is a priority problem. the nurse develops a 2-monthprogram with the goal to eradicate the condition of the school. the program includes educationalphamplets sent home to parents and regular assessment of children by the school nurse. whataction should the nurse implement to evaluate the effectiveness of the program ✔✔measure theprevalence of the pediculosis capitis among the children after four monthsa prescription for discharge is written for an elderly female client who has asked to be dischargedto her home. the client lives alone and is able to walk to 15 feet with assistance. what actionshould the nurse implement first? ✔✔meet with the case manager to plan a home safetyevaluationa nurse is planning a nutrition class for a group of senior citizens at the community center andwants to emphasize the amount and types of fat in some foods versus others. what is the bestbeaching method for the nurse to use ✔✔determine foods more often eaten by this group anddiscuss the nutritional panel for each productthe epidemiological triad can be used to frame strategies for the prevention of farm machineryinjuries. which action should the nurse take to focus on the agent? ✔✔work with the legislatorsto mandate safe tractor designaverage income of community was $67,000, lowest was like $20,000 and highest income is$108,000 ✔✔frequency of people in lower versus higherwhen visiting a community health clinic, a client's blood pressure is measured at 146/94 mm Hg.what information should the nurse provide the client? ✔✔obtain a blood pressure daily for twoweekswhich intervention should the nurse implement to help prevent a client from getting a vectorborn infectious disease ✔✔discuss the importance of wearing inset repellent when campingon a repeat home visit to see an 84-year old widow, the nurse discovers that the client isunkempt, smells of stale urine, and does not recognize her neighbors or the nurse. what actionshould the nurse take ✔✔complete a physical and mental exam of the clientthe local health department needs to prioritize the distribution of influenza vaccinations due to alimited supply. in determining which individual should receive the limited available vaccine,which person should the public health nurse ask to return to the clinic later when more vaccine isavailable? ✔✔a 60-year-old client with diabetes and agrophobiathe parish nurse notes that an elderly male client had a 5 point weight loss. since his check-upone month. the client has good hygiene, still drive a car, and lives alone. to which agency shouldthe nurse refer this client? ✔✔the senior citizen centerteenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that hwants to play high school football. which action should the nurse take? ✔✔tell the teenage toshower with a non-perfumed soaps immediately after practicethe nurse is documenting the medical history of a young adult male client who was recentlydiagnosed with type 1 diabetes mellitus (DM). he smokes 2 packs of cigarettes daily and hisfather did of a heart attack at the age of 45. which annual screening is most important for thenurse include? ✔✔hyperlipidemiahepatitis A vaccines ✔✔if going out of countryif boy is 6'5 and 135 ✔✔get 24 hr diet recallmigrant workers ✔✔pesticidesThe nurse is documenting the medical history of a young adult male client who was recentlydiagnosed with type one diabetes. He smokes two packs of cigarettes daily and his father died ofa heart attack at age 45. Which annual screening is most important for the nurse to include?✔✔HyperlipidemiaA nurse is planning a nutrition class for a group of senior citizens at a community center andwants to emphasize the amount and types of fat and some food versus others. What is the bestteaching method for the nurse to use? ✔✔Determine Foods most often eaten by this group anddiscuss the nutritional panel of each productA prescription for discharge is written for an elderly female client who has asked to bedischarged 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? ✔✔Meet with the case manager to plan a homesafety evaluationThe nurse at a migrant health center notes and increase incident in dermatitis and seasonalfarmworkers at a local fruit farm. In response to this finding, it is most important for the nurse toobtain which information as part of a community assessment? ✔✔Availability of freshwater forwashing hands after workA teenage boy with a history of recurring atopic dermatitis tells the school nurse that he wants toplay high school football. What action should the nurse take? ✔✔Tell the teenager to showerwith non-perfumed immediately after practiceThe wife of an older adult man who has diabetes for the past 10 years reports to the home healthnurse that her husband fell yesterday while taking his daily walk in the neighborhood. He has abruised hand and a small abrasion on his left knee. The nurse assesses that his neurological vitalsigns are stable. To reduce risk for future falls, which assessment is most important for the nurseto obtain? ✔✔Degree of paresthesia in feetAnd assessment conducted last year of the health needs of children who attended a middle schoolindicated that bicycle injuries were a priority problem, so the nurse developed a bicycle safetyprogram. Six weeks after completion of the program, a survey was sent to parents and students.Which finding is the best indicator that the program was effective? ✔✔The number of studentswearing bicycle helmets increased by 10%On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client isunkempt smells of steel urine, and does not recognize your neighbors or the nurse. What actionshould the nurse take first? ✔✔Complete a physical and mental exam of the clientA male migrant farm worker who lives in a mobile home with several other workers visit tomigraine Health care Center. He reports increasing episodes of dizziness headaches abdominalcramps and difficulty breathing. What nursing action has the highest priority? ✔✔Gatherinformation about the clients recent exposure to pesticidesWhich intervention should the nurse implement to help prevent a client from getting a vectorborne infectious disease? ✔✔Discuss the importance of wearing insect repellent when campingThe RN care manager at a public department is making a home visit to a client with four childrenunder the age of six. The client is a single mother in the family is living below poverty level.Which intervention should the nurse include as a primary level prevention measure? ✔✔Enrollthe client in the women, infant, and children program /WIC[Show More]

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