A patient asks a nurse about the effects of chronic alcohol use ...

[segrsyd]

A patient asks a nurse about the effects of chronic alcohol use on the heart. The nurse's best response would be which statement?
 
  a. Chronic alcohol use affects the liver more adversely than it does the heart.
  b. Drinking more than two drinks a day protects the heart from atherosclerosis.
  c. Long-term alcohol use can damage the heart and cause heart failure.
  d. Over time, alcohol use can lower your blood pressure.

Question 2

A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What will the nurse do?
 
  a. Ask whether the patient is rinsing the mouth after each dose.
  b. Request an order for an antifungal medi-cation.
  c. Suggest that the patient be tested for a bronchial infection.
  d. Tell the patient to discontinue use of the glucocorticoid.

[mmj22343]

Answer to Question 1

C
Chronic abuse of alcohol results in direct damage to the myocardium, increasing the risk of heart failure. Chronic alcohol abuse has a significant effect on the heart and also affects the liver. Drinking fewer than two alcoholic beverages a day potentially protects the heart from atheros-clerosis. Alcohol consumption produces a dose-dependent elevation of blood pressure.

Answer to Question 2

A
The most common side effects of inhaled glucocorticoids are oropharyngeal candidiasis and dysphonia. To minimize these, patients should be advised to gargle after each administration. Antifungal medications are used after a fungal infection has been diagnosed. Hoarseness is not a sign of a bronchial infection. There is no need to discontinue the glucocorticoid.

[segrsyd]

Thanks

[mmj22343]

Welcome