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 this statement?
A)The child's body has a musty odor.
B)This child is a blue-eyed blond.
C)The child appears sleepy and uninterested in the surroundings.
D)The child has a sunburn over his entire body.

Question

Quizplus · Accepted Answer

Phenylketonuria (PKU) results in the accumulation of phenylalanine, which leads to a musty odor. This odor is detectable in the urine and skin of affected individuals. Thus, the child's musty odor would indicate that the dietary restrictions have not been followed. The other options do not relate to the diagnosis of PKU or the child's compliance with the diet.

The Child Was Diagnosed with Phenylketonuria Shortly After Birth and Has