Question

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.

7. What does the color of her urine indicate?

8. There is also a food group missing in her diet. Which food group is missing?

9. This food group is a good source of which fat-soluble vitamin and mineral?

10. Inadequate intake of this food group might lead to thinning bones and loss of bone mass as we age. This is called what?

Answer 1

6)In athletes due to exercise there body temperature rises and it resulting in sweating so being hydrated will replace the water which lost through sweating.

Being hydrated helps in thermoregulation and prevents heat stroke, heat exhaustion, and reduce risk of injury and muscle fatigue.

7)Normally the color of the urine is transparent to ember when it is in dark yellow in colour then it is due to dehydration.

The color of urine indicate that she is dehyfrated.

8)In her diet she is missing calcium.

9)vitamin D

10) Osteoporosis is a condition which is result due to inadequate intake of calcium which causes thinning of bones and loss of bone mass as age grows.