Community Health HESI

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

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screening is most important for the nurse include?

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