ESSAY. Write your answer in the space provided or on a separate sheet of paper.
The patient is a 28–year–old female with insulin–dependent diabetes. She developed viral gastroenteritis with
nausea and vomiting. She did not take her insulin and she became increasingly nonresponsive. Her husband
called 911 and she was taken to the emergency room. Her pulse rate was 128 and her respiratory rate was 28,
deep, and smelled fruity (Kussmaul breathing). Her urinary glucose and ketone levels were both 4+. Her pH
was dangerously low. Explain how the body attempted to compensate for the low serum pH.
What are four possible complications of obesity from a medical standpoint?
Harry is hospitalized with bacterial pneumonia. When you visit him, his teeth are chattering, his skin is cool
and clammy to the touch, and he complains of feeling cold, even though the room is quite warm. Explain his
symptoms.
Hank, a 17–year–old high school student, suffered a heart attack during a recreational swim. An autopsy
revealed that he had had atherosclerosis and that his death had been caused by coronary artery disease. What
might have been the cause of this disease that usually strikes a person much older than Hank?
The patient is 45 years old and is obese. He states he has been on the Atkins diet and has lost 20 pounds. What
are the dangers inherent in following fad diets for quick weight loss?
After chopping wood for about 2 hours, on a hot but breezy afternoon, John stumbled into the house and
immediately fainted. His T–shirt was wringing wet with perspiration, and his pulse was faint and rapid. What
is your tentative diagnosis? Explain your reasoning and note what you should do to help John’s recovery.
The patient is 52 years old and has a history of hypertension. His cholesterol level is 245. He states his job is very
stressful and he is recently going through a divorce. He admits to being overweight and has an inactive lifestyle.
His father died of a stroke at age 60. He is worried about having a heart attack and/or stroke and wishes to
change his lifestyle. The nurse encourages the patient to eat more fish. Explain why eating more fish would be
of benefit for this patient.