Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. Objective Data 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 What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. 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. 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.) What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each. .

1. Mr. C., a 32-year-old single man, is seeking information at the
outpatient center regarding possible bariatric surgery for his
obesity. He reports that he has always been heavy, even as a
small child, but he has gained about 100 pounds in the last 2–3
years. Previous medical evaluations have not indicated any
metabolic diseases, but he says he has sleep apnea and high
blood pressure, which he tries to control with sodium
restriction. He current works at a catalog telephone center.
Objective Data
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
What health risks associated with obesity does Mr. C. have? Is
bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the
following medications have been ordered:

2. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL
PO 1 hour before bedtime and 3 hours after mealtime and at
bedtime.
Ranitidine (Zantac) 300 mg PO at bedtime.
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.
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.)
What actual or potential problems can you identify? Describe at
least five problems and provide the rationale for each.