Nutrition: Concepts and Controversies
14th Edition
ISBN: 9781305886865
Author: Sizer, Frances , WHITNEY, Ellie
Publisher: Cengage Learning
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Chapter 9, Problem 7SC
Summary Introduction
Introduction:
BMI or basal
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R.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”. She was diagnosed with Diabetes Mellitus about 2 years ago. Initially Kelly did well with just one medication and diet and exercise. However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL. Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID.
Explain the relationship of carbohydrate to the development of diabetes mellitus?
What are the good sources of carbohydrate must K.R. consumed? Explain.
Explain the role of diet that K.R intervene to improve her condition…
Discuss the following:
Topic: Postpartum Care for Women
· Why is it important to take a multivitamin with folic acid throughout childbearing years?
· Maintaining fluid needs for breastfeeding
· Why are teen moms at a higher nutritional risk after giving birth?
· Weight issues after giving birth
· Average weight loss after giving birth
· Importance on maintaining physical activity
A 63-year-old woman reports for her annual physical examination. She has no major previous medical
history but does have a recent history of a broken wrist she sustained after a mild fall. Three years ago
her height was recorded at 5'3" and is now recorded at 5'1". She complains that she can't be quite as
active as she used to be and that her back is beginning to bother her. This leads her to be outside less
frequently. Her physician orders some laboratory testing and diagnoses her with osteoporosis.
Analyte
2/20/2018 08:00
Reference Range
135-145 mEg/L
3.5-5.0 mEg/L
95-105 mEg/L
22-28 mEg/L
70-100 mg/dL
7-20 mg/dL
0.5-1.1 mg/dL
Na
141
K
4.1
CI
101
CO2
25
Glucose
98
BUN
15
Creat
0.9
BUN/Creat Ratio
17
10-20
8.5-10.5 mg/dL
25-80 ng/mL
10-65 g/mL
Calcium
10.4
25-Cholecalciferol
15
ΙPTH
89
Highlight the abnormal results in the above table.
List three risk factors this patient has for osteoporosis.
What is the most likely cause of her case of osteoporosis? Explain.
What are two treatments…
Chapter 9 Solutions
Nutrition: Concepts and Controversies
Ch. 9 - Prob. 1RQCh. 9 - Prob. 2RQCh. 9 - Prob. 3RQCh. 9 - Prob. 1CTCh. 9 - Prob. 2CTCh. 9 - Prob. 1SCCh. 9 - Prob. 2SCCh. 9 - Prob. 3SCCh. 9 - Prob. 4SCCh. 9 - Prob. 5SC
Ch. 9 - Prob. 6SCCh. 9 - Prob. 7SCCh. 9 - Prob. 8SCCh. 9 - When the brain receives signals that enough food...Ch. 9 - Prob. 10SCCh. 9 - Prob. 11SCCh. 9 - Prob. 12SCCh. 9 - Prob. 13SCCh. 9 - Prob. 14SCCh. 9 - Prob. 15SCCh. 9 - Prob. 16SCCh. 9 - Prob. 17SCCh. 9 - Prob. 18SCCh. 9 - Prob. 19SCCh. 9 - Prob. 20SCCh. 9 - Prob. 21SC
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- Compare and contrast the care of clients with acquired hypothyroidism (Hashimoto’s disease). Gretchen is an 11-year-old who is short in stature but overweight. Keisha is a 31-year-old woman with a TSH level of 12 who wishes to become pregnant. Loretta is a 67-year-old woman with long-standing hypothyroidism. She currently takes levothyroxine once a day. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client.arrow_forwardL.H. is a 26-year-old woman is in the clinic today for evaluation of weight gain and fatigue. She is 5 feet 6 inches and weighs 175 pounds. Prior to her pregnancy, she weighed 130 pounds and her maximum weight during pregnancy was 155 pounds. She is now 18 months postpartum and continuing to gain weight despite no change in diet or activity. She reports that the fatigue is getting worse even though her daughter is sleeping reliably through the night and the patient feels she is getting plenty of rest. She takes no other medications and has no significant medical history. Her vital signs today are HR 68, BP 108/60, RR 10, temperature 97° F Select a potential diagnosis for L.H. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain L.H.’s symptoms?arrow_forwardA 25 y/o pregnant female has been diagnosed with gestational diabetes. Her OB/GYN wants her to meet with this healthcare professional to help develop a diet plan to follow during her pregnancy.arrow_forward
- The American Diabetes Association recommends screening for diabetes in children who are overweight and have 2 out of 3 identified risk factors. Which of the following is one of the 3 identified risk factors? Family history of type 1 diabetes Membership in a specified race-ethnic group, including Caucasian Family history of heart disease Signs of insulin resistancearrow_forwardCompare and contrast the care of clients with acquired hypothyroidism (Hashimoto’s disease). Gretchen is an 11 year old who is short in stature but overweight. Keisha is a 31 year old woman with a TSH level of 12 who wishes to become pregnant. Loretta is a 67 year old woman with long standing hypothyroidism. She currently takes levothyroxine once a day. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client. - did not match any documents.arrow_forwardIn regards to calcium requirements: 1.Post-menopausal women need more calcium each day. 2.All of these are true. 3.It is no longer recommended to take calcium supplements. 4.Insufficient calcium can increase risk of osteoporosis.arrow_forward
- Answer all questions completely:arrow_forward. A 32 year old G2P1 (1001) seeks consult at 6 weeks AOG for initial obstetric visit. Her previous child had a spina bifida. How much folate should be given to prevent NTD’s in her current pregnancy? 40 micrograms’day There is insufficient evidence that follate can prevent NTDs 40 milligrams/day 4 milligrams/day 400 micrograms/dayarrow_forwardA nurse is collecting data during a prenatal visit. What two (2) questions would be asked to identify maternal drug abstinence? 2. A nurse is reinforcing teaching with a pregnant client who is diagnosed with iron deficiency anemia and has been prescribed iron supplements. List a statement if made by the client would indicate an understanding of the teaching. 3. A nurse is caring for a newborn with hyperbilirubinemia who has been prescribed phototherapy. Identify three (3) interventions the nurse should institute for this client?arrow_forward
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