A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

“A low-protein diet should be followed for 3 months prior to conception."

"Breastfeeding will prevent your baby from developing PKU."

"Serum bilirubin should be monitored one to two times per month during pregnancy."

"Diet sodas should not be consumed more than two or three times per week."

Answer and Explanation

The Correct Answer is A

A.   For individuals with PKU who are planning a pregnancy, it is recommended to follow a low- protein diet prior to conception to minimize the risk of maternal phenylalanine levels causing harm to the developing fetus.

B.   Breastfeeding does not prevent a baby from developing PKU. Babies born to mothers with PKU need special formula to avoid the harmful effects of high levels of phenylalanine in breast milk.
C.   Monitoring serum bilirubin levels is not specific to PKU management during pregnancy.

D. Consumption of diet sodas is not directly related to PKU management during pregnancy.

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Correct Answer is C

Explanation

A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.

C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.

A. Orange juice B. Carrots C. Almonds D. Eggs E. Brussels sprouts F. Salmon

Correct Answer is ["D","F"]

Explanation

A. Orange juice: Orange juice is a good source of vitamin C and can contribute to overall nutritional intake. However, it is not specifically indicated based on the laboratory results provided.
B. Carrots: Carrots are rich in beta-carotene, which is a precursor to vitamin A. While they are generally nutritious, they are not specifically indicated based on the laboratory results provided.
C. Almonds: Almonds are a good source of magnesium, which can help if the client is experiencing a deficiency, as indicated by the slightly low magnesium level in the laboratory results.
D. Eggs: Eggs, particularly the yolks, also contain this essential nutrient. Including these foods in the client's diet can help improve their vitamin D levels and overall health.
E. Brussels sprouts: Brussels sprouts are a good source of vitamin C and other nutrients, but they are not specifically indicated based on the laboratory results provided.
F. Salmon: Salmon is a good source of vitamin D, which can help address a deficiency if present, as indicated by the low level of total 25-hydroxy D in the laboratory results.

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A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in a primary care provider's office is caring for a client. Exhibits Select 2 dietary recommendations the nurse should include in the client's plan of care.

Correct Answer is ["D","F"]

Explanation

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