A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning.
Which of the following information should the nurse include in the teaching?
Increase the toddler's protein consumption.
Limit foods high in iron.
Use aspartame as a sugar substitute.
Avoid foods containing milk products.
The Correct Answer is D
A. Toddlers with phenylketonuria (PKU) need to limit their intake of phenylalanine, an amino acid found in protein. Therefore, the toddler's protein consumption should be carefully controlled and monitored.
B. Foods high in iron do not need to be specifically limited for a child with PKU. Iron-rich foods are important for overall health and should be included in the diet.
C. Aspartame contains phenylalanine and should be avoided by individuals with PKU. PKU is a metabolic disorder that impairs the body's ability to break down phenylalanine, so it is important to limit phenylalanine intake.
D. This is correct. Foods containing milk products should be avoided, as they are a source of phenylalanine and can contribute to an excessive intake of this amino acid in a child with PKU. Instead, specialized medical foods low in phenylalanine are recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct instruction. Varicella (chickenpox) is highly contagious. The child should be kept away from others until all lesions are crusted over and no new lesions have formed for at least 24 hours. This typically indicates that the child is no longer contagious.
B. Applying calamine lotion can help alleviate itching and discomfort associated with the vesicles. This is a supportive measure but does not address the contagious nature of the disease.
C. Dressing the child in warm clothing is not specific to the management of varicella. It is important to keep the child comfortable, but this instruction does not address the
contagious period.
D. It is generally safe to give the child a bath during varicella. Warm baths with mild soap can help soothe itching. However, the child should be dried gently to avoid breaking open any vesicles.
Correct Answer is A
Explanation
A. Hyperpyrexia, or extremely high fever, is a potential complication of acute
acetylsalicylic acid (aspirin) poisoning. It can occur due to the toxic effects of salicylates on the hypothalamus, which regulates body temperature.
B. Polyuria (excessive urination) is not a typical finding associated with acute acetylsalicylic acid poisoning.
C. Jaundice (yellowing of the skin and eyes) is not a typical finding associated with acute acetylsalicylic acid poisoning.
D. Neck vein distention is not a typical finding associated with acute acetylsalicylic acid poisoning. It may be a sign of increased central venous pressure, which is not directly related to salicylate toxicity.
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