A nurse on the cruise ship to Pacific Islands monitors the older ...

[bobthebuilder]

A nurse on the cruise ship to Pacific Islands monitors the older adults for heat stroke in the hot weather. Which of the following persons is at greatest risk for developing heat stroke?
 
  A) 82-year-old Pacific Islander working the stand
  B) 80-year-old Canadian who abstains from alcoholic drinks
  C) 82-year-old woman who has been on the cruise for 4 weeks
  D) 78-year-old man with Parkinson disease

Question 2

A nurse in the postoperative unit monitors for hypothermia. Which of the following older adults' assessment findings indicates the onset of hypothermia?
 
  A) Cool skin on buttocks
  B) Puffy face
  C) Shallow respirations
  D) Shivering

[Jevvish]

Answer to Question 1

Ans: D
Cardiovascular disease and Parkinson disease can worsen the severity of heat-related illness and decrease the chance of full recovery. More men than women experience heat-related illnesses. When exposed to hot climates for 7 to 14 days, healthy adults are able to acclimatize, and abstaining from alcohol decreases the chance of hot intolerance.

Answer to Question 2

Ans: A
Cool skin in unexposed areas, such as the abdomen and buttocks, is a distinguishing characteristic of hypothermia. The environmental temperature may be only moderately cool, and the older person will not necessarily shiver or complain of feeling cold. As untreated hypothermia progresses, additional signs may include lethargy, slurred speech, mental changes, impaired gait, puffiness of the face, slowed or irregular pulse, low blood pressure, slowed tendon reflexes, and slow, shallow respirations.