True or False: A phenylketonuria (PKU) blood test can be done any time before an infant is
discharged to home. If false, explain your rationale.
What will be an ideal response?
False
PKU results from a deficiency of the enzyme phenylalanine dehydrogenase. Without this enzyme,
the infant will not be able to digest certain proteins properly. If the condition is left undetected,
these proteins build up in the body and can cause mental retardation. The test for PKU is not reliable
until the newborn has ingested an adequate amount of the amino acid phenylalanine. The initial
ingestion of milk needs to be documented and the test performed at least 24 hours after that time.
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An elderly client fell 2 days ago on the sidewalk near his home and has been admitted to the hospital with a hip fracture. Since his subsequent surgery, however, he has been insistent on wearing his own sweater and cap
The nurse is aware that the client is not cold, has no cognitive deficits, and has participated cooperatively in all aspects of his treatment. What is the most plausible rationale for the client's action? A) The client wishes to maintain and assert his personal identity. B) The client is preparing to leave against medical advice. C) The client is experiencing postoperative delirium. D) The client is unaware that wearing a gown is the norm in a hospital.
Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?
a. "Consider the swim team as an alternative to soccer." b. "Encourage intellectual activity rather than participation in sports." c. "It is okay to play sports such as soccer unless the weather is too hot." d. "Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice."
A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?
a. "The patch can always be cut when dosage adjustments are needed." b. "Drug levels fluctuate less with the patch." c. "There are fewer systemic side effects with transdermal patches." d. "There is less risk of toxicity when using a patch."
A patient has started a fitness program. What program features illustrate that he has started a well-rounded program?
1) Flexibility 2) Isometric exercises 3) Resistance training 4) Aerobic conditioning