Author Question: Mr. S is an 84-year-old Hispanic with congestive heart failure (CHF). He comes into the clinic with ... (Read 30 times)

Kthamas

  • Hero Member
  • *****
  • Posts: 546
Mr. S is an 84-year-old Hispanic with congestive heart failure (CHF). He comes into the clinic with complaints of lower extremity edema and shortness of breath that began three days ago.
 
  His weight today is 186 pounds, an increase of 12 pounds in 12 days. He has 1+ pitting edema in both lower extremities that extends to the knees. The nurse inquires about any variation in his daily routine and he informs her that his wife has been sick for about one week, and he has been making canned soup or sandwiches for their meals. The nurse suspects the problem is related to: 1. Inactivity due to his wife's illness.
   2. Excess sodium from the canned soup and lunch meat.
   3. Worsening cardiac ejection fraction due to age.
   4. Water retention due to increased protein intake.

Question 2

The parents of a 9-month-old infant ask how to prevent obesity in their child. What would be the best age-appropriate response to their question?
 
  A) Infants should be allowed to self-regulate the amount of food they eat.
  B) Infants should be fed 8 oz of formula per month of age.
  C) Infants should be fed according to the recommendations of the MyPlate food plan.
  D) Infants should be fed according to what your family tells you.



isabelt_18

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

2
Rationale: The sudden onset of weight gain and development of edema points to an increased consumption of dietary sodium resulting in water retention and worsening heart failure. The likely cause of the increased sodium is canned soups and processed meat which both have high sodium levels. Worsening cardiac ejection fraction due to age is unlikely given the sudden onset of symptoms. Water retention is caused by sodium rather than an increase in dietary protein.

Answer to Question 2

A
Feedback:
To avoid overfeeding, infants and children should be allowed to self-regulate the amount of food consumed.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

Kthamas

  • Hero Member
  • *****
  • Posts: 546
Both answers were spot on, thank you once again




 

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

About one in five American adults and teenagers have had a genital herpes infection—and most of them don't know it. People with genital herpes have at least twice the risk of becoming infected with HIV if exposed to it than those people who do not have genital herpes.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

For a complete list of videos, visit our video library