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NTR 415 Exam 2

NAME:

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Questions are 2 points each unless otherwise noted. Questions designated CIRCLE ALL THAT AppLy are the only multiple choice questions that moy have more than one answer.
Case Studv #1: Julio C. is o 3-7-year-old femole with o BMI of it4.7 kg/mz. She has been on ond off diets for severol yeors and hos sucdsfutty tost weight mony timeiGJoiunotely, she has olwoys goined the weight back and then some. She has a relatively sedentary lifestyle, but the recent development of knee osteoarthritis hos caused her to limit her physicol octivity even further. Her high blood pressure is controlled with Losix, a

lopplljuretic, ond todoy is 117/83 mm Hg. 11+ tp6p,gpd her lab results ore as follows:

She hod

fasting blood drawn at her doctor's office lost week

Albumin
Glucose

Trislvcerides

Reference ronge 3.5-5.2 e/dL 70-t2O rne/dL 35-160 meldL

>150 me/dL

tulia's volues
4.8 123 320
H H

Total cholesterol LDL cholesterol HDL cholesterol

BUN

<130 me/dL
>55 me/dL

24LH L72H 461

15
.8

Creatinine POq- (phosphorous)

WBC Na+
K+

clpH
HCO3-

5-20 me/dL 0.6-L.2 me/dt 2.4-4.L meldL 4.3-10 x L0'/mm' 135-145 mEq/L 3.6-5 mEq/L L01-111 mEq/L
7.35-7 .45

2.7 5.1 L38

3.7
103

7.39
23

22-26 mEq/L

Her doctor has olso recently prescribed simvostotin, Lstotin drug, to treot her high total qnd LDL cholesterol. Now Julia hos come ta see you to renew her efforts at weight loss. Please onswer the

questionsbelowoboutJulia'scose.

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Lasix use is

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1. The lab value that would need to be most closely monitored with regard to

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a.

currently:

Below the reference range

Y Rbove the reference range d. ls not shown in her lab results

Lasix,

within the reference range

2. While taking
(2 points)?

iulia will ntost likely need to supplement or consume foods high in which nutrient

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