An infant has been diagnosed as having congenital hypothyroidism. L-thyroxine is ordered for the infant. The infant is being bottle-fed
Why will the nurse who is working with this child and family instruct the caregivers to avoid formulas that are soy-based and provide the family with a list of soy-based formulas? a. L-thyroxine's absorption is affected by formulas that are soy based.
b. Children who are on L-thyroxine and soy-based formulas often have allergic reactions.
c. The L-thyroxine interferes with the absorption of calcium in the soy formula.
d. Infants on soy formula and L-thyroxine will tend to vomit the formula.
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A Correct. L-thyroxine's absorption is affected by formulas that are soy based; therefore, caregivers should avoid using Alsoy (Nestle), Gerber Soy, Isomil (Mead Johnson), Nursoy (Wyeth-Ayerst), ProSobee (Mead Johnson), and Soyalac (Loma Linda), and any other soy-based formula.
B Incorrect. L-thyroxine's absorption is affected by formulas that are soy based, this is not an issue of allergies.
C Incorrect. L-thyroxine's absorption is affected by formulas that are soy based, it has nothing to do with the absorption of calcium in the soy formula.
D Incorrect. L-thyroxine's absorption is affected by formulas that are soy based, this is not an issue of vomiting.
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