The nurse is teaching an alcoholic patient about the importance of proper nutrition. Which of the following nutritional recommendations is appropriate for clients with alcohol dependence?
1. Restrict fluid intake to decrease renal load
2. Provide a multivitamin supplementation, including thiamine and folate
3. Encourage a high-protein, low-carbohydrate diet to promote lean body mass
4. Increase sodium-rich foods to increase iodine levels
2
Rationale: A multivitamin with thiamine and folate is essential for clients with alcohol dependence. Korsakoff's syndrome and Wernicke's encephalopathy are alcohol-related disorders linked to thiamine deficiency. It would not be necessary to restrict carbohydrates, increase iodine, or decrease renal load with fluid restriction.
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