NRS 410V Module 5 Disease Management Case scenario Mr. C., a 32 yea NRS 410V Module 5 Disease Management Case scenario | Page 2

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
c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before
meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack
at 10 p.m. Plan an administration schedule that will be most therapeutic and
acceptable to the patient.
3) Assess each of Mr. C.'s functional health patterns using the information given
(Hint: Functional health patterns include health-perception - health management,
nutritional - metabolic, elimination, activity-exercise, sleep-rest, cognitive-
perceptual, self-perception - self-concept, role-relationship, sexuality -
reproductive, coping - stress tolerance).