The nurse teaches a client with osteopenia, who is lactose intolerant, how to increase dietary calcium and vitamin D intake. Which lunch food is the best choice?

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11ecbb05_ca0d_90e5_b433_6d944a19d746_MD0009_00 Osteopenia is more than normal bone loss for the client's age and sex. Adequate dietary intake of calcium and vitamin D is necessary to promote bone growth, prevent resorption (bone loss), and prevent progression to osteoporosis. Milk and milk products are the best sources of calcium. However, other food sources are available for individuals who are lactose intolerant. They include some fish (eg, sardines, salmon, trout), tofu, some green vegetables (eg, spinach, kale, broccoli), and almonds. Good food sources of vitamin D include egg yolks and oily fish (eg, salmon, sardines, tuna). Canned sardines are the best choice as sardines are an excellent source of calcium and vitamin D (Option B). (Options A, C, and D) These foods have only small amounts of calcium per serving and no vitamin D. Educational objective: Sardines are a good alternate dietary source of both calcium and vitamin D for individuals who are lactose intolerant.

The Nurse Teaches a Client with Osteopenia, Who Is Lactose