A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?

Choice A rationale:
Allowing the toddler to feed himself is an important aspect of promoting autonomy and developing fine motor skills. It encourages self-sufficiency and exploration of different food textures. However, close supervision is necessary to ensure the toddler's safety during feeding.
Choice B rationale:
Avoiding snacks between meals is not the most appropriate instruction for a toddler's nutritional needs. Toddlers have smaller stomach capacities and higher energy requirements due to their rapid growth. Healthy snacks can help meet their nutritional needs and prevent excessive hunger between meals.
Choice C rationale:
Providing different food for the toddler than the parents is not recommended. Ideally, toddlers should be exposed to the same nutritious foods that the family consumes. This practice helps establish healthy eating habits and exposes the toddler to a variety of foods.
Choice D rationale:
Setting meal times immediately after physical activity is not necessarily beneficial. While regular physical activity is important for toddlers, scheduling meals immediately after activity might lead to poor appetite or discomfort. It's generally better to ensure the toddler is well-rested and hungry before meals.

Choice A rationale:
Distended neck veins - Distended neck veins are typically associated with increased fluid volume or right-sided heart failure. In the case of dehydration, the fluid volume is reduced, and the veins are more likely to appear collapsed rather than distended.
Choice B rationale:
Tachycardia - Dehydration leads to a reduction in blood volume and a subsequent decrease in blood pressure. To compensate for this drop in blood pressure, the heart rate tends to increase. Tachycardia (an elevated heart rate) is a compensatory mechanism aimed at maintaining an adequate cardiac output despite reduced circulating blood volume.

Choice C rationale:
Hypertension - Dehydration typically leads to decreased blood volume, which in turn results in decreased blood pressure. Hypertension, or high blood pressure, is not a common finding in dehydration. Instead, low blood pressure (hypotension) is more likely.
Choice D rationale:
Decreased respiratory rate - Dehydration primarily affects the cardiovascular system, leading to reduced blood volume and subsequent compensatory mechanisms such as increased heart rate. The respiratory rate is not directly influenced by dehydration, so a decreased respiratory rate would not be a typical finding.