NUTRITION CARE PROCESS, 15TH EDITION BY JANICE L.
RAYMOND AND KELLY MORROW LATEST EDITION 2026-
2027 WITH ALL CORRECT QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED A+
,A young female is unresponsive after overdosing on an unknown type of drug. Her respirations
are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST
likely cause of her condition?
A: Seconal
B: Heroin
C: Cocaine
D: Valium The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely cause of the patient's condition.
Cocaine is a central nervous system (CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS
depressants and could explain her condition. Heroin is an illegal narcotic (opiate), Valium is a
benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics,
benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is:
A: conscious and alert and has ingested a large amount of Motrin.
B: emotionally upset and has ingested two bottles of aspirin.
C: agitated and claims to have ingested a bottle of Tylenol.
,D: awake and alert and has swallowed a commercial drain cleaner. You selected D; This is correct
Reason: Activated charcoal adsorbs (sticks to) many ingested substances, preventing them from
being absorbed into the body by the stomach or intestines. In some cases, you may give
activated charcoal to patients who have ingested certain substances, if approved by medical
control or local protocol. Activated charcoal is contraindicated for patients who have ingested
an acid or alkali (ie, drain cleaner) or a petroleum product (ie, gasoline), who have a decreased
level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiation and convection is to:
A: move away from a cold object.
B: increase metabolism by shivering.
C: wear a thick wind-proof jacket.
D: move to a warmer environment. you selected D; This is correct!
Reason: In a cold environment, the body has two ways of staying warm: generating heat
(thermogenesis) and reducing heat loss. Radiation is the transfer of heat by radiant energy. The
body can lose heat by radiation, such as when a person stands in a cold room. Convection
occurs when heat is transferred to circulating air, as when cool air moves across the body's
surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to
the environment mostly by convection. The quickest and most obvious way to decrease heat
loss from radiation and convection is to move out of the cold environment and seek shelter
, from wind. Shivering increases the body's metabolism and is a mechanism for generating heat,
not reducing heat loss. Layers of clothing trap air and provide excellent insulation; thus, layered
clothing decreases heat loss better than a single, thick jacket. Conduction is the direct transfer
of heat from a part of the body to a colder object by direct contact, as when a warm hand
touches cold metal or ice. The most obvious way to decrease heat loss by conduction is to
remove your hand from the cold object.
A near-drowning is MOST accurately defined as:
• A: complications within 24 hours following submersion in water.
• B: immediate death due to prolonged submersion in water.
• C: survival for at least 24 hours following submersion in water.
• D: death greater than 24 hours following submersion in water. You selected C; This is
correct!
Reason: Collectively, drowning and near-drowning are referred to as submersion injuries.
Drowning is defined as death after submersion in a liquid medium, usually water. In a drowning,
death is either immediate or occurs within 24 hours following submersion. Near-drowning is
defined as survival, at least temporarily (24 hours), after submersion. It should be noted,
however, that complications such as pneumonia and pulmonary edema can cause death greater
than 24 hours following submersion. For this reason, all patients with a submersion injury
should be transported to the hospital, even if they appear fine at the scene.