Case Study Module 4
As a nurse, you oversee the Health Clinic at a local college. Today you are conducting
physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
1. From your visual exam the dietary intake and the blood test, what mineral is lacking in Susan’s diet?
Question 2 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
2. A deficiency of this mineral over time will result in low hemoglobin levels and a diagnosis of .
Question 3 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
3. Provide Susan with three reasons that this mineral may be low.
Question 4 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
4. Explain to Susan why she is feeling tired and cold.
Question 5 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
5. What is the recommended amount of water that a female should consume daily? How much of it should come from fluid itself?
Question 6 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
6. Being an athlete, adequate fluid intake is very important. Explain this to Susan.
Question 7 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing
A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
7. What does the color of her urine indicate?
Question 8 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
8. There is also a food group missing in her diet. Which food group is missing?
Question 9 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
9. This food group is a good source of which fat-soluble vitamin and mineral?
Question 10 As a nurse, you oversee the Health Clinic at a local college. Today you are conducting physicals on the soccer team members. Susan admits that she has been feeling very tired lately. You decide to investigate further.
Upon examining Susan, you note that she appears to be pale, and, in addition to feeling tired, she always seems to be cold. A urine sample is provided, and blood work is done.
A dietary assessment is also completed.
Breakfast: 2 slices wheat toast with peanut butter
banana
6 oz coffee, black
Lunch: Dinner plate filled with salad. This includes spinach, cucumbers, carrots, tomatoes
3 tablespoons of Italian dressing A breadstick
2 oatmeal cookies 12 oz of iced tea
Snack: Granola bar and an apple
Dinner: 1 cup of brown rice
1 bowl of black bean chili 1 square of corn bread
½ cup mixed fruit
½ cup grilled vegetables 12 oz Diet Coke
Snack: 2 cups of popcorn
8 oz of lemonade
Susan’s family has a history of cardiovascular disease, and she has decided to be a vegetarian to prevent this from occurring later in life.
Biochemical assessment results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.
10. Inadequate intake of this food group might lead to thinning bones and loss of bone mass as we age. This is called what?