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.

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 food intake diary 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 results- the urine is dark yellow in color. Hemoglobin levels are below the normal range.

1. From the dietary intake and the blood test, what mineral is lacking in Susan’s diet?

2. A deficiency of this mineral over time will result in low hemoglobin levels and a diagnosis of ____________.

3. Provide Susan with three reasons that this mineral may be low.

4. Explain to Susan why she is feeling tired and cold.

5. What is the recommended amount of water that a female should consume daily? How much of it should come from fluid itself?

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

1)Iron

2)Iron deficiency Anemia

3). Inadequate iron intake due to poor diet or restrictive diet

.Inflammatory bowel disease

.blood loss through heavy periods or internal bleeding

4)Anemia a condition in which you don't have enough healthy red blood cells to carry adequate oxygen to the body 's tissues,may be the culprit...Lack of vitamin B12 and iron deficiency Anemia lead you to feel cold...And Feeling very tired is one of the most common symptoms of iron deficiency,affecting more than half of those who are deficient.This happens because your body needs iron to make a protein called haemoglobin,which is found in red blood cells.

5)The national Academies of sciences, Engineering and Medicine determined that an adequate daily fluid intake is about 11.5 cups(2.7litres) of fluids a day for women

6)Good hydration means getting the right amount of water before,during and after exercise.water regulates your body temperature and lubricates your joints.it helps transport nutrients to give you energy and keep you healthy.if you are not hydrated your body can't perform at its highest level

7) Dehydration

A darker yellow,amber color isn't healthy your body needs water

organish yellow and darker, you are severely dehydrated

8)calcium

10) Osteoporosis.

Low bone mass sometimes called Osteoporosis is a condition not considered a disease