y related to accumulation of PHenylalanine AS MAnifested by eczema

Eczema rashes
Previousseizure
Risk for injury

Redness and scaling of skin

Increased muscle tone Limit stimulus
Assess skin for redness
Penny
2y/o
PKU
Patient scratches skin
Cut nails and provide mittens Active muscle tenson reflex Initiate seizure precaution

crease fluid intake and encourage proper nutrition microcephaly

prominent cheek andPatient’s

upper jawMother
bones
stated that she does have the money to buy special formula milk for the child

Caregiver role strain related to complexity of diet requirement as manifested by parent states not e
ayed Growth and Development related to cognitive impairment secondary to Phenylketonuria.
poor development of tooth enamel

decreased body Stated

growthdoesn’t have enough time to prepare low-phenylalanine foods.
Legend:

Client
Assess caregiver concerns and strains
S/ Sx Record amount of Phenylalanine taken every day
Consult a dietitcian for diet regimen Ensure family knowledge of the special diet

Nsg Dx
Assist in planning diet regimen with the caregiver

Nsg Mngt