The nurse has instructed an older client on the modified MyPlate and caloric intake. Which client response best indicates that instruction has been effective?
1. "I have to drink six cups of milk every day to get enough vitamin D in my diet."
2. "Eating the lowest daily recommended value provides adequate calories each day."
3. "I will get enough B vitamins as long as I eat the recommended amount of vegetables."
4. "Taking daily protein powder supplements is a good alternative to eating meat."
2. "Eating the lowest daily recommended value provides adequate calories each day."
Explanation: 1. The client can reach their vitamin D intake this way, but other sources include liver, fortified cereals, fish oil, fatty fishes, and eggs.
2. Following the lowest recommended values for all the food groups will result in approximately 1,600 calories of energy. If the client expends additional energy, calorie intake will need to be increased by increasing the intake of recommended daily values.
3. This is not true; for example, B12 is obtained through meats, fish, poultry, dairy, and fortified foods like cereal. Other B vitamins are also better obtained through grain and meat sources.
4. Supplements are never a good alternative to natural food sources in the healthy client.
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A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?
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