A client asks the nurse how she developed a vitamin D deficiency when she drinks milk. Which of the following should the nurse respond to this client?
1. "Not all milk contains vitamin D.".
2. "The skin synthesizes vitamin D from sunlight.".
3. "A loss of melanin causes a decrease in vitamin D.".
4. "Insufficient protein intake causes a vitamin D deficiency.".
2. "The skin synthesizes vitamin D from sunlight.".
Rationale:
The skin performs several essential functions. One of these is the synthesis of vitamin D from ultraviolent light. If the client is not exposed to ultraviolet light, there is a risk for developing a vitamin D deficiency. In the United States cow's milk is fortified with vitamin D, and there is nothing to suggest the client drinking another kind of milk. A loss of melanin does not lead to a decrease in vitamin D. Insufficient protein intake does not cause a vitamin D deficiency.
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