The nurse is educating a client about the importance of calcium and vitamin D. The client asks how they can increase their vitamin D. Which are ways a client can increase the exposure to vitamin D?(Select all that apply.)
1. Increase exposure to sunlight or ultraviolet light
2. Drink milk
3. Eat foods rich in vitamin D
4. Increase food consumption by 300 calories a day
5. Decrease exercise
1, 2, 3
Rationale 1: Increasing exposure to sunlight or ultraviolet light increases the level of cholecalciferol in the bloodstream.
Rationale 2: Milk and other food fortified with vitamin D can increase the level of cholecalciferol in the bloodstream.
Rationale 3: Milk and other food fortified with vitamin D can increase the level of cholecalciferol in the bloodstream.
Rationale 4: Increasing food calories by 300 does not increase the level of cholecalciferol in the bloodstream.
Rationale 5: Decreasing exercise does not increase the level of cholecalciferol in the bloodstream.
Global Rationale: The inactive form of vitamin D, called cholecalciferol, is synthesized in the skin from cholesterol. Exposure of the skin to sunlight or ultraviolet light increases the level of cholecalciferol in the bloodstream. Cholecalciferol can also be obtained from milk or other foods that are fortified with vitamin D.
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