As we look at the case study

As we look at the case study in chapter 11, we find James. He is a 37-year old African-American man with a history of hypertension. He has been non-compliant with his medications for the past 2 years because of the high cost of them and their unpleasant side effects. He smokes one pack of cigarettes a day but claims that does not consume alcohol. He comes to the clinic today because he feels tired and has had a headache for the past few days. Looking at the nursing care process, you see that anthropometric measurements were taken on James. What are anthropometric measurements and why are they important for children as well as adults? You note that his BMI is >30. How would you categorize him? How does obesity contribute to GI reflux? As you are discussing the importance of exercise with him, he says that he just runs out of energy quickly. What could you suggest to him, nutritionally, to provide short-term energy when exercising? What about sustained energy (for 3 or more hours)? James says he doesn’t drink alcohol. He quit about a month ago after getting a DUI. With his history of alcoholism, what vitamin would be important to include in his treatment plan? James doesn’t like to go outside much, thus he doesn’t get much sunlight. Which vitamin level should we check and consider giving supplements of? With James’ history of alcoholism, he has a history of stomach ulcers and GI disorders. He has had numerous surgeries, which have left him with the need to take vitamin B12 supplements. What is produced in the stomach that is required for B12 absorption? If he can no longer absorb B12 in his GI tract, what other method of B12 supplementation is needed? As we are looking at his lab work, we notice that his iron levels are low. We decide to start him on iron supplements. Which nutrient should we also include in his diet to help with iron absorption? What foods should he consume to get the iron? What about vitamin C? James is concerned about taking vitamin supplements. He is worried about getting too much. Can James get vitamin toxicity? Can you explain to James the difference between water-soluble and fat-soluble vitamins? reference as well SCIENCE HEALTH SCIENCE NURSING NURS 5701

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