What should the parents of infants with a positive phenylketonuria (PKU) test be instructed to do?

Give the infant a high protein diet.

Provide the infant with a diet containing small amounts of phenylalanine.

Early introduction of cow’s milk may be necessary before 1 year of age.

Follow up with a pediatric cardiologist.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Giving an infant with a positive PKU test a high protein diet is not recommended. This is because phenylalanine, which cannot be broken down by individuals with PKU, is found in high-protein foods.
Choice B rationale
Parents of infants with a positive PKU test should provide the infant with a diet containing small amounts of phenylalanine. This is because while phenylalanine is harmful in large amounts to individuals with PKU, it is still an essential amino acid that the body needs in small amounts.
Choice C rationale
Early introduction of cow’s milk is not necessary before 1 year of age for infants with a positive PKU test. In fact, cow’s milk is high in phenylalanine and should be avoided.
Choice D rationale
Following up with a pediatric cardiologist is not specifically related to the dietary management of PKU. While regular medical supervision is important for children with PKU, it does not necessarily have to be with a cardiologist.

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Correct Answer is C

Explanation

Choice A rationale
Wearing gloves while gardening is a recommended practice after a mastectomy, especially on the side where lymph nodes have been removed. This is to protect the skin and reduce the risk of infection, which could trigger lymphedema.
Choice B rationale
It is indeed recommended that blood pressures be taken in the unaffected arm after a mastectomy. This is because the pressure from the cuff can obstruct lymph flow and potentially trigger lymphedema in the arm where lymph nodes have been removed. Choice C rationale
Wearing clothing with elastic sleeves is not recommended after a mastectomy. Elastic bands can restrict lymph flow and increase the risk of lymphedema.
Choice D rationale
Similar to blood pressure measurements, it is recommended that blood specimens be drawn from the unaffected arm after a mastectomy. This is to avoid injury to the lymphatic system in the arm where lymph nodes have been removed, which could trigger lymphedema.

A. Sporadic vaginal bleeding accompanied by chronic pelvic pain B. Heavy leukorrhea with vulvar pruritus C. Menstrual irregularities and hirsutism on the chin D. Stress incontinence with a feeling of low abdominal pressure .

Correct Answer is D

Explanation

Choice A rationale
Sporadic vaginal bleeding accompanied by chronic pelvic pain is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice B rationale
Heavy leukorrhea with vulvar pruritus is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice C rationale
Menstrual irregularities and hirsutism on the chin are not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice D rationale
Stress incontinence with a feeling of low abdominal pressure is a common symptom in women who have had multiple pregnancies and are admitted for repair of cystocele and rectocele. Multiple pregnancies can weaken the pelvic floor muscles, leading to conditions like cystocele and rectocele. Stress incontinence, where urine leaks out with increased abdominal pressure (such as when coughing, sneezing, or lifting), is a common symptom of these conditions.

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What should the parents of infants with a positive phenylketonuria (PKU) test be instructed to do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

Correct Answer is C

Explanation

What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

Correct Answer is D

Explanation

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