The nurse is working with the family of a child who has phenylketonuria (PKU) disease. The nurse reinforces to the family that the child needs:
1. Foods with high biologic protein every day.
2. Foods that have very little phenylalanine.
3. Daily vitamin supplements.
4. A combination of complete and incomplete proteins every day.
2
Rationale: PKU disease occurs when there is a deficiency of the phenylalanine hydroxylase enzyme. Untreated, it leads to cognitive delays and other health problems. These children must avoid foods with phenylalanine. Phenylalanine is part of protein; therefore protein intake from any source must be limited. Vitamins are not protein.
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1. Increased respiratory rate 2. Normal temperature 3. Normal heart rate 4. Decreased blood pressure
The nurse is caring for a patient who has been diagnosed with Crohn's disease. When providing education concerning dietary recommendations, which statement by the patient indicates an un-derstanding of the teaching?
a. "I should try to eat as much fiber daily as I can." b. "Reducing dietary fat and fiber will be helpful in managing my condition." c. "I should not have lactose-containing products." d. "Eating a larger breakfast and smaller lunch and dinner portions is recommend-ed."
A patient who has asthma and who is known to the primary care NP calls the NP after hours and asks for a refill of an albuterol metered-dose inhaler. The patient has not been seen in the clinic for more than a year. The NP should:
a. call the pharmacy to order the medication with several refills. b. send an electronic prescription to the pharmacy for one time only. c. send the patient to the emergency department for evaluation of symptoms. d. refill the drug and tell the patient that an office visit is necessary for further refills.
The home health nurse would be most concerned about self-medicating errors for the older adult living alone who is a type 1 diabetic and is:
a. afflicted with early Parkinson's disease. b. visually impaired. c. a rheumatoid arthritic with stiffened hands. d. paralyzed from the waist down.