A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?

A) Breastfeeding alone cannot prevent a baby from developing phenylketonuria (PKU). PKU is an inherited metabolic disorder characterized by the body's inability to process phenylalanine, an amino acid found in protein. Infants with PKU must follow a special low-phenylalanine diet from birth to prevent intellectual disability and other complications. Breast milk contains phenylalanine, so infants with PKU require a special formula that is low in phenylalanine.

B) The consumption of diet sodas is not directly related to the management of phenylketonuria (PKU). Clients with PKU must closely monitor their intake of phenylalanine, an amino acid found in protein-containing foods. Diet sodas typically do not contain protein or phenylalanine, so their consumption is not a primary concern for individuals with PKU.

C) Monitoring serum bilirubin levels is not specific to the management of phenylketonuria (PKU) during pregnancy. Serum bilirubin levels are typically monitored to assess liver function and screen for conditions such as jaundice. While individuals with PKU may require additional monitoring during pregnancy, such as monitoring phenylalanine levels, serum bilirubin levels are not typically a focus of PKU management.

D) Following a low-protein diet for several months prior to conception is an important aspect of managing phenylketonuria (PKU) during pregnancy. High levels of phenylalanine in the mother's blood can cross the placenta and harm the developing fetus, potentially leading to intellectual disability and other complications. By adhering to a low-protein diet before conception, individuals with PKU can lower their phenylalanine levels and reduce the risk of complications during pregnancy.

A) "You should limit carbohydrate intak” to 30 grams per day": While“reducing carbohydrate intake can be part of a weight man”gement plan, setting a specific limit of 30 grams per day may not be appropriate or sustainable for everyone. Carbohydrates are an essential macronutrient and provide energy for the body, especially for individuals with higher energy needs. Additionally, focusing solely on carbohydrate restriction may overlook other important aspects of a balanced diet.

B) "You should consume 500 fewer calories per day": This instruction“aligns with the principles of weight manageme”t for individuals with a BMI of 35, which falls within the obese category. A reduction of 500 calories per day is often recommended for gradual and sustainable weight loss. This approach typically results in a weight loss of about 1 pound per week, which is considered safe and achievable for many individuals.

C) "You should follow a liquid meal plan for 4 weeks": While liquid “eal plans can be effective for some individuals as part of a structured weight loss proecommendey are not universally recommended or suitable for everyone. Liquid diets should be supervised by healthcare professionals and tailored to individual needs and preferences. Additionally, following a liquid meal plan for an extended period may not provide the necessary variety of nutrients found in solid foods.

D) "You should consume high-calorie foods early in the day": While m“al timing can impact metabolism and energy levels, the”e is no evidence to suggest that consuming high-calorie foods specifically early in the day is beneficial for weight management. Instead, focusing on balanced meals and snacks throughout the day, with attention to portion sizes and nutrient density, is generally recommended for promoting satiety and supporting weight loss efforts.