Advanced Patient Assessment Practice Exam

An elderly patient who gains more than how many pound(s) in a week may be suffering from CHF?

1. 3 lb

2. 5 lb

3. 7 lb

4. 1 lb

The correct answer is: 7 lb

In evaluating changes in weight for an elderly patient, particularly concerning congestive heart failure (CHF), a gain of more than 3 to 5 pounds in a week is often considered significant. Specifically, a weight gain of more than 5 pounds can indicate fluid retention, which is a common symptom of worsening CHF. This weight increase can reflect a patient's inability to manage excess fluid, leading to edema and an exacerbation of heart failure symptoms. Moving up to a threshold of more than 7 pounds in a week is considered even more critical. Such a gain can signal a substantial increase in fluid retention, which may require immediate medical intervention and evaluation to manage potential complications associated with CHF. Thus, emphasizing this threshold serves as a warning for healthcare providers to assess the patient closely for signs of exacerbated heart failure and to modify treatment plans as necessary. This understanding is essential in monitoring patients with CHF, allowing for timely interventions to prevent worsening of their condition.