A young adult client is brought into the emergency department ...

[erika]

A young adult client is brought into the emergency department with hypothermia. The nurse realizes that which of the following may have contributed to the condition in this client?
 
  1. Alcohol intake
   2. Walking outdoors in 30Fweather
   3. Not wearing a hat
   4. Wearing light socks and tennis shoes

Question 2

A client has been recently diagnosed with type 1 diabetes mellitus. The client is making statements that signal denial of the problem.
 
  The client states, I am thin and eat all of the time, so how can this mean I have diabetes? Which of the following responses by the nurse is most appropriate? 1. Thin people are diabetic, too..
   2. Your condition makes it impossible for you to gain weight..
   3. You are eating large quantities because your condition makes it difficult for your body to obtain energy from the foods taken in..
   4. Your lab tests indicate the presence of diabetes..

[adammoses97]

Answer to Question 1

1. Alcohol intake

Rationale:
Alcohol causes peripheral vasodilation, which exposes the circulating bloodstream to more rapid cooling, resulting in a faster decrease in body temperature. The client's intake of alcohol contributed to the development of hypothermia. Skin freezes when the temperature drops to 1424.8F. Not wearing a hat and wearing light socks and tennis shoes may not have helped but did not cause the client to develop hypothermia.

Answer to Question 2

3. You are eating large quantities because your condition makes it difficult for your body to obtain energy from the foods taken in..

Rationale:
The diabetic client is unable to obtain the needed glucose for the body's cells, due to the lack of insulin. Clients diagnosed with type 1 diabetes mellitus experience polyphagia, and are often thin. While the statement about diabetics being thin is correct, it does not answer the client. It is not impossible for diabetics to gain weight. Although the laboratory tests might indicate the presence of diabetes, it does not meet the client's needs for teaching.