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Mr. K is a 66-year-old African American. He was admitted to the emergency room o

ID: 81285 • Letter: M

Question

Mr. K is a 66-year-old African American. He was admitted to the emergency room of Twin Peaks Hospital after passing out unexpectedly at work. He is having difficulty talking and does not know what happened to him. His wife provides the dietitian on staff the following information about his diet. Breakfast: eggs fried in butter, toast, and black coffee; Lunch: ham sandwich, canned soup, potato chips, diet soda, and a candy bar; Dinner: beef or other type of meat, potato with butter, broccoli with mayonnaise, ice cream, and black coffee, Other related information: Blood pressure: 160 mm Hg/85 mm Hg LDL cholesterol: 140 mg/dL Occupation: Air Traffic Controller At LAX Hours of work: 60+/wk Family history: mother died from heart disease at 69 years of age Smoker: yes; 30 years, 2 pack/day Fasting blood sugar: 120 mg/dL Ht = 67^* Wt = 210 lbs What do you suspect is wrong with Mr. K? a. He had a heart attack b. He had a stroke c. He had a hypoglycemic episode due to diabetes d. He has brain cancer e. He has GERD Mr. K is a 66 year-old African American. He was admitted to the emergency room of Twin Peaks Hospital after passing out unexpectedly at work. He is having difficulty talking and does not know what happened to him. His wife provides the dietitian on staff the following information about his diet. Breakfast: eggs fried in butter, toast, and black coffee; Lunch: ham sandwich, canned soup, potato chips, diet soda, and a candy bar; Dinner: beef or other type of meat, potato with butter, broccoli with mayonnaise, ice cream, and black coffee. Other related information: Blood pressure 160 mm Hg/85 mm Hg LDL cholesterol: 140 mg/dL Occupation: Air Traffic Controller at LAX Hours of work: 60+/wk Family history; mother died from heart disease at 69 years of age Smoker; yes; 30 years, 2 pack/day Fasting blood sugar; 120 mg/dL Ht = 67^* Wt = 210 lbs What other risk factors does Mr. K have? a./He is obese b. He is African American c. He eats a high-sodium diet d. All of the above e. a and b only What information about Mr. K. indicates you have the correct diagnosis? a. He has high blood sugar b. He is a long term cigarette smoker c. He has high blood pressure d. All of the above e. b and c only Mr. K is a 66-year-old African American. He was admitted to the emergency room of Twin Peaks Hospital after passing out unexpectedly at work. He is having difficulty talking and does not know what happened to him. His wife provides the dietitian on staff the following information about his diet. Breakfast: eggs fried in butter, toast, and black coffee; Lunch: ham sandwich, canned soup, potato chips, diet soda, and a candy bar; Dinner: beef or other type of meat, potato with butter, broccoli with mayonnaise, ice cream, and black coffee, Other related information: Blood pressure: 160 mm Hg/85 mm Hg LDL cholesterol: 140 mg/dL Occupation: Air Traffic Controller At LAX Hours of work: 60+/wk Family history: mother died from heart disease at 69 years of age Smoker: yes; 30 years, 2 pack/day Fasting blood sugar: 120 mg/dL Ht = 67^* Wt = 210 lbs What should the dietitian ask his wife to better help him with treatment after his discharge? a. How motivated do you think your husband is to change his habits? c. Who does the cooking and how willing is he/she to try new cooking methods? d. All of the above c. a and c only Primary components included in nutrition evaluations of children with special health care needs include a. growth, nutrient content of diet, and how the child is fed b. growth, nutrient content of diet, and cost c. growth, course, of mother's pregnancy, and substance abuse in the home d.health care insurance eligibility, growth, and nutrient content of diet

Explanation / Answer

74.( d. ) All of the above because american love sodium chloride and they consume far too much.

75. ( e ) a and c only because this will help him with treatment after his discharge.

76. ( a ) growth, nutrient content of diet and how the child is fed.

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