What nutritional component should be altered in the infant with heart failure (HF)?
a. Decrease in fats
b. Increase in fluids
c. Decrease in protein
d. Increase in calories
ANS: D
Infants with HF have a greater metabolic rate because of poor cardiac function and increased heart and respiratory rates. Their caloric needs are greater than those of average infants, yet their ability to take in calories is diminished by their fatigue. The diet should include increased protein and increased fat to facilitate the child's intake of sufficient calories. Fluids must be carefully monitored because of the HF.
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