Which of the following food choices contains the least amount of phenylalanine for children with PKU?

Walnuts

Cow’s milk

Bananas

Diet soda with aspartame

Answer and Explanation

The Correct Answer is C

Choice A reason:

Walnuts are a source of protein and contain phenylalanine, an amino acid that individuals with phenylketonuria (PKU) must limit in their diet. While nuts can be a healthy snack for most people, they are not suitable for those with PKU due to their high phenylalanine content. Therefore, walnuts are not the best choice for children with PKU.

Choice B reason:

Cow’s milk is another source of protein and contains significant amounts of phenylalanine. Dairy products, including milk, cheese, and yogurt, are generally high in protein and should be avoided by individuals with PKU. Consuming cow’s milk can lead to elevated levels of phenylalanine in the blood, which can be harmful to children with PKU.

Choice C reason:

Bananas are a fruit that contains very low levels of phenylalanine. Fruits and vegetables are generally safe for individuals with PKU as they are low in protein and phenylalanine. Bananas, in particular, are a good option for children with PKU as they provide essential nutrients without contributing to high phenylalanine levels.

Choice D reason:

Diet soda with aspartame should be avoided by individuals with PKU because aspartame is an artificial sweetener that contains phenylalanine. Consuming products with aspartame can lead to an increase in phenylalanine levels in the blood, which can be harmful to those with PKU. Therefore, diet soda with aspartame is not a suitable choice for children with PKU.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

The correct answers are a) Use a straw to administer the medication, b) Give the medication with vitamin C, and c) It is best to give the medication with food.

Choice A reason:

Using a straw to administer ferrous sulfate is recommended to prevent staining of the teeth. Ferrous sulfate, especially in liquid form, can cause discoloration of the teeth if it comes into direct contact with them. By using a straw, the medication bypasses the teeth, reducing the risk of staining.

Choice B reason:

Giving ferrous sulfate with vitamin C is beneficial because vitamin C enhances the absorption of iron. Vitamin C (ascorbic acid) helps convert iron into a form that is more easily absorbed by the body. Therefore, administering ferrous sulfate with a source of vitamin C, such as orange juice, can improve its effectiveness.

Choice C reason:

It is best to give ferrous sulfate with food to reduce gastrointestinal side effects. While iron is best absorbed on an empty stomach, it can cause stomach upset, nausea, and constipation. Taking the medication with food can help mitigate these side effects, making it more tolerable for the child.

Choice D reason:

Giving ferrous sulfate with milk is not recommended. Dairy products, including milk, can interfere with the absorption of iron. Calcium in milk binds with iron, reducing its bioavailability and effectiveness. Therefore, it is best to avoid giving ferrous sulfate with milk or other dairy products.

A. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 B. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg C. A 1-year-old toddler who has roseola and a temperature of 39°C (102.2°F) D. A 10-year-old child who has sickle cell anemia and reports 8 out of 10 chest pain

Correct Answer is D

Explanation

Choice A reason:

A 7-year-old child with diabetes insipidus and a urine specific gravity of 1.016 is not in immediate danger. Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of severely diluted urine. A urine specific gravity of 1.016 is within the normal range (1.005 to 1.030). Therefore, this child does not require immediate assessment.

Choice B reason:

A 4-year-old child with asthma and a PCO2 of 37 mm Hg is also not in immediate danger. Asthma is a chronic condition that can cause difficulty breathing, but a PCO2 level of 37 mm Hg is within the normal range (35-45 mm Hg). This indicates that the child’s respiratory status is currently stable, and immediate assessment is not required.

Choice C reason:

A 1-year-old toddler with roseola and a temperature of 39°C (102.2°F) is experiencing a common viral infection that typically causes a high fever followed by a rash. While the fever is high, it is not uncommon for roseola and can be managed with antipyretics and supportive care. This child does not require immediate assessment.

Choice D reason:

A 10-year-old child with sickle cell anemia reporting 8 out of 10 chest pain is in immediate danger and requires urgent assessment. Chest pain in a child with sickle cell anemia can indicate acute chest syndrome, a severe and potentially life-threatening complication. Acute chest syndrome is characterized by chest pain, fever, and respiratory distress, and it requires prompt medical intervention. Therefore, this child should be assessed first.

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Which of the following food choices contains the least amount of phenylalanine for children with PKU?

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Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is D

Explanation

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