Please Read the Clinical Scenario, and Then Answer the Question

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A newborn infant screening yields a positive result for biotinidase deficiency. As the RN, you provide education for the patient’s parents regarding the role of enzymes in metabolism and this enzyme deficiency disorder.
-Based upon knowledge of enzymes and metabolic processes,which of the following outcomes would you educate the parents to expect if the deficiency is not treated?

A) no effect on the patient's health
B) reduced immunity in adulthood in the patient
C) mildly impaired vision in the patient
D) permanent damage to organ systems and/or death of the patient