Mr. S is an 84-year-old Hispanic with congestive heart failure ...

[Kthamas]

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]

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.

[Kthamas]

Both answers were spot on, thank you once again

[isabelt_18]

Great! Please up vote