A nurse has provided patient education about the dangers of chronic alcohol abuse. Which of the following statements made by the patient about chronic alcohol abuse indicates a need for further teaching?
a. "Excessive alcohol use results in the promotion of heat loss."
b. "Excessive alcohol use results in erosive gastritis."
c. "Excessive alcohol use results in a decreased risk of MI and stroke."
d. "Excessive alcohol use results in an increased risk of colorectal cancer."
C
Chronic and excessive alcohol consumption is clearly harmful, resulting in direct damage to the myocardium, which increases the risk of MI and stroke. This is caused by the vasoconstriction in vascular beds of the skeletal muscle that is brought on by increased activity of the sympathetic nervous system, also resulting in hypertension. This statement clearly indicates a need for further teaching.
Excessive alcohol abuse promotes heat loss through the vasodilation of cutaneous vessels; no further teaching is required.
Erosive gastritis is also a result of excessive alcohol abuse because of the increased stimulation of gastric acid secretions; no further teaching is required.
Alcohol is associated with an increased risk of breast and colorectal cancer; no further teaching is required.
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