Question

A nurse is reinforcing teaching with a client who is lactose intolerant. Which of the following statements should the nurse include in the teaching?

A. You should increase the fiber in your diet." Rationale: An increase of fiber in the diet will not affect lactose intolerant symptoms.
B. "You should increase the calories in your diet. Rationale: Increasing calories in the diet will not affect lactose intolerant symptoms.
C. You should decrease the dairy products in your diet." Rationale: A decrease in dairy products will reduce the symptoms associated with lactose intolerance.
D. "You should decrease the amount of vitamin D in your diet." Rationale: A decrease of vitamin D in the diet will not affect lactose intolerant symptoms. Although vitamin D often accompanies dairy products, which the client should avoid consuming, there are other ways for the client to consume vitamin D.

Answer 1

Individuals who are lactose intolerant should not decrease their vitamin D intake; instead, they need to find alternative sources of this essential nutrient despite avoiding dairy products. They can get vitamin D from fortified foods, sunlight, and supplements to maintain healthy levels.

Step-by-step explanation:

Lactose Intolerance and Nutrient Intake

When instructing a client who is lactose intolerant, it is essential to emphasize that they should maintain adequate vitamin D intake and not decrease it. Lactose intolerance results from the body's deficiency in producing lactase, the enzyme needed to digest lactose found in dairy products. Symptoms include bloating, cramps, and nausea, leading to the recommendation to avoid foods high in lactose. Despite the need to avoid these foods, ensuring an intake of essential nutrients, like vitamin D, is still critical for overall health.

Vitamin D can be found in fortified foods such as lactose-free milk, certain orange juices, and cereals, as well as from sun exposure and supplements. It is imperative for bone health, immune function, and other bodily processes. For those with lactose intolerance, alternative sources of calcium and protein need to be considered. Foods like leafy greens, almonds, and tofu can provide calcium, while proteins can come from meats, beans, and soy products. Moreover, lactase enzyme supplements may help in digesting lactose when dairy is consumed.

It's important that lactose-intolerant individuals do not decrease their vitamin D consumption, as it is vital for many body functions, including calcium absorption—crucial for those avoiding dairy. Instead, sources outside of dairy should be explored to ensure appropriate nutrient levels are maintained for optimal health.