NRS 410 V All assignment NRS 410 V All assignment | Page 59

Pathophysiology and Nursing Management of Clients Health Disorders of the
Digestive and Musculoskeletal System
The case scenario provided will be used to answer the discussion questions that
follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the outpatient center
regarding possible bariatric surgery for his obesity. He reports that he has always
been heavy, even as a small child, but he has gained about 100 pounds in the last
23 years. Previous medical evaluations have not indicated any metabolic diseases,
but he says he has high blood pressure, which he tries to control with sodium
restriction and sleep apnea. He current works at a catalog telephone center
Objective Data
Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Blood Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions
1.What health risks associated with obesity does Mr. C. have? Is bariatric surgery
an appropriate intervention? Why or why not?
2.Mr. C. has been diagnosed with peptic ulcer disease and the following
medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide
(Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at
bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate /