The child was diagnosed with phenylketonuria shortly after birth and has been treated by the endocrine clinic for the last four years. The mother has missed the last three appointments
When the child keeps the next appointment, the mother assures the nurse that the child has followed the dietary restrictions. Which finding would make the nurse question this statement? 1. The child's body has a musty odor.
2. This child is a blue-eyed blond.
3. The child appears sleepy and uninterested in the surroundings.
4. The child has a sunburn over his entire body.
1
Rationale 1: The odor is caused by the excretion of phenylketone by-products through the skin and would indicate noncompliance with the dietary restrictions.
Rationale 2: While this is a characteristic of most children with PKU, it is not related to dietary intake or restrictions.
Rationale 3: This is not a symptom of untreated phenylketonuria.
Rationale 4: Photophobia is not associated with PKU. The child with untreated PKU has an eczema rash.
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