Cardiovasuclar disease

Jacob is 49 years old and wants to eat healthier and loseweight. He is 6 ft 1 in tall, weighs 298 pounds, and does notexercise. His physician advised him to get down to 250 pounds andtold him to follow a 2000-calorie diet. He has prediabetes,hypertension, and hypercholesterolemia. He lives alone and doesn’tcook. Instead, he normally eats fast food meals. He admits to beinga heavy beer drinker.A diet history reveals that his typical firstmeal of the day is two egg-and-sausage breakfast sandwiches alongwith coffee, cream, and sugar. Lunch is two peanut butter and jellysandwiches on white bread with chips and soda. Dinner is asubmarine sandwich, pizza, or tacos. During the evening he eatschips and salsa while drinking three to four beers.

What is the accompanying illness in this case? And whatchanges as a nurse would you expect to see?

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