Author Question: A student nurse in a BSN program is selecting an elective class for the final semester. After ... (Read 73 times)

bobbie · **on:** Jul 22, 2018

A student nurse in a BSN program is selecting an elective class for the final semester. After considering projected changes in health care, the student might consider selecting:

1. A class on the effect of illness on a young child.
2. A class in a non-English language.
3. A psychology course on young adults.
4. A personal finance class.

Question 2

The nurse assessing a client admitted for a total hip replacement is concerned the client would be at risk for thrombus formation because of which of the following?

1. Age 45 years
2. Former cigarette smoker
3. Body mass index (BMI) 35.8
4. Blood pressure 132/88 mmHg

softEldritch · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2: A class in a non-English language.

Rationale:
Minorities in the United States will likely be the majority by the year 2042. By becoming proficient at other languages, the nurse will be better able to meet the needs of these future clients. The largest group of clients will be age 65 or older in the near future, so an extra class about an aging population would be more helpful than a class about children or young adults. The student might consider a class on the effects of finance and cost in the delivery of health care rather than personal finance.

Answer to Question 2

3. Body mass index (BMI) 35.8

Rationale:
Risk factors for the development of thrombus formation that could lead to a pulmonary embolism include obesity, orthopedic surgery, myocardial infarction, heart failure, and advancing age. The BMI of 35.8 falls into the category of obese, which would increase the client's risk of developing a thrombus and possible pulmonary embolism. The client's age, status as a former smoker, and blood pressure would not have as significant an impact on the development of a thrombus as the client's weight.