The child was diagnosed with phenylketonuria shortly after birth ...

[BrownTown3]

The child was diagnosed with phenylketonuria shortly after birth and has been treated by the endocrine clinic for the last four years. The mother has missed the last three appointments.
 
  When the child keeps the next appointment, the mother assures the nurse that the child has followed the dietary restrictions. Which finding would make the nurse question this statement? 1. The child's body has a musty odor.
  2. This child is a blue-eyed blond.
  3. The child appears sleepy and uninterested in the surroundings.
  4. The child has a sunburn over his entire body.

Question 2

An 11-year-old child tells the nurse that she is having trouble falling asleep at night. What recommendations will the nurse make? Standard Text: Select all that apply.
 
  1.
  Drink a cup of warm tea at nighttime to induce sleep.
  2. Try to follow a nighttime routine.
  3. Avoid sleeping late in the morning or taking a nap.
  4. Exercise 30 minutes before bedtime to tire the body out.
  5. Darken the room at bedtime.

[ebe]

Answer to Question 1

1
Rationale 1: The odor is caused by the excretion of phenylketone by-products through the skin and would indicate noncompliance with the dietary restrictions.
Rationale 2: While this is a characteristic of most children with PKU, it is not related to dietary intake or restrictions.
Rationale 3: This is not a symptom of untreated phenylketonuria.
Rationale 4: Photophobia is not associated with PKU. The child with untreated PKU has an eczema rash.
Global

Answer to Question 2

2,5
Rationale 1: Tea contains caffeine and should be avoided at bedtime.
Rationale 2: A nighttime routine warns the body that bedtime is approaching and will help the body prepare to rest.
Rationale 3: When you can't sleep at night, the tendency is to sleep until noon the next day or take a nap in the afternoon. Both activities will inhibit sleep the following night.
Rationale 4: Exercising immediately before going to bed will stimulate the body and keep the child awake.
Rationale 5: Light in the room can interfere with a deep sleep.
Global Rationale:

[BrownTown3]

Excellent

[dyrone]

Thanks for the timely response, appreciate it