Maternal / Newborn Question #31
A pediatric client with phenylketonuria (PKU) is in the pediatric wing of the hospital and selects a diet-carbonated beverage containing aspartame on the daily nutritional menu. What PKU diet instruction by the nurse will best address the child’s selection?
- “You may have any type of diet drink since you only need to watch for sugar intake.”
- “Foods and drinks sweetened with aspartame have high levels of Phenylalanine and should be avoided.”
- “The client’s bill of rights means you have the choice to pick whatever you want.”
- “You must only drink water.”
Answer B is the best reason to provide since aspartame may be in foods or drinks and should always be avoided. Selection A is incorrect since avoiding sugar is not the issue with PKU. Many drinks are permissible as long as there is no evidence of aspartame or other Phenylalanine containing ingredients. Selection C is incorrect because although clients have rights, nurses have a responsibility to explain adverse effects and conditions that may cause harm. Selection D is incorrect since many fluids such as Kool Aid, apple juice, etc are permissible on a PKU diet.