A pregnant client has lactose intolerance. What recommendation will the nurse provide to best help the client meet dietary needs for calcium?
a. Add foods such as nuts, dried fruit, and broccoli to the diet.
b. Consume dairy products but take an over-the-counter anti-gas product.
c. Increase the intake of dark leafy vegetables, such as spinach and chard.
d. Use powdered milk instead of liquid forms of milk.
ANS: A
Calcium is present in legumes, nuts, dried fruits, and broccoli, so these foods can be added to increase calcium intake. Although dark leafy vegetables contain calcium, they also contain oxalates that decrease the availability of calcium. Powdered milk contains lactase, just like the nondehydrated varieties. Milk products can be avoided by those with lactose intolerance because adequate calcium may be obtained from food and supplements.
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