In the ED, a homeless patient is brought in with severe ...

[swpotter12]

In the ED, a homeless patient is brought in with severe hypothermia. The police officers also state that they found a bottle of booze on the sidewalk next to him. This puts the nurse on high alert since alcohol contributes to hypothermia by
 
  A)
  interfering with the appetite center in the brain causing the person to not respond to hunger pains.
  B)
  causing the person to have less fat on his body.
  C)
  dulling the mental awareness that impairs judgment to seek shelter.
  D)
  increasing his basal metabolic rate, so he will run out of ATP faster than expected.

Question 2

Based on the assessment results, which of the following hospital patients is most likely to be experiencing the effects of chronic stress?
 
  A)
  A 32-year-old intravenous drug user with a diagnosis of endocarditis
  B)
  A 45-year-old paraplegic who is experiencing delayed wound healing of an ischial ulcer
  C)
  A 79-year-old woman who has a diagnosis of acute and chronic renal failure
  D)
  A 63-year-old man with a diagnosis of chronic obstructive pulmonary disease (COPD) and heart failure (HF)

[jessicaduplan]

Answer to Question 1

Ans:
C

Feedback:

Alcohol and sedative drugs dull mental awareness to cold and impair judgment to seek shelter or put on additional clothing. Alcohol also inhibits shivering. It does not interfere with the appetite center. Malnutrition causes the person to have less fat. Alcohol may initially increase pulse, but as the hypothermia continues, the pulse rate will lower.

Answer to Question 2

Ans:
B

Feedback:

Delayed wound healing has been associated with chronic stress. Endocarditis, renal failure, COPD, and CHF are not noted as common effects of chronic stress.