A nurse is counseling a client about principles that promote weight loss. Which of the following statements by the client indicates an understanding of the teaching?

A. 1/2 cup instant mashed potatoes: Instant mashed potatoes provide only a small amount of calcium, typically around 10–20 mg per serving. While they may be fortified with some nutrients, they are not considered a significant source of calcium and should not be relied on as an alternative to dairy for individuals with calcium needs.
B. 1/2 cup chopped tomatoes: Chopped tomatoes are very low in calcium, offering roughly 10 mg per 1/2 cup serving. Although tomatoes contain beneficial vitamins like vitamin C and antioxidants such as lycopene, they do not contribute meaningfully to daily calcium intake and are not suitable substitutes for calcium-rich foods.
C. 1/4 cup quinoa: Quinoa provides a modest amount of calcium—approximately 20–30 mg per 1/4 cup cooked. While it is a good plant-based protein and contains other minerals like magnesium and iron, its calcium content is not high enough to be considered a top alternative for those avoiding dairy.
D. 1/2 cup almonds: Almonds contain the highest amount of calcium among the listed options, with about 185–200 mg per 1/2 cup serving. They are an excellent non-dairy source of calcium, especially useful for clients with lactose intolerance or dairy allergies. In addition to calcium, almonds provide healthy fats, fiber, and magnesium, making them a nutritious alternative.

A. "I should report any tingling I feel around my mouth. Tingling around the mouth, known as perioral paresthesia, is a classic symptom of hypocalcemia and can indicate worsening calcium deficiency or the onset of tetany. This symptom must be reported immediately because it suggests neuromuscular irritability that can progress to serious complications like laryngospasm or seizures if left untreated.
B. "I should take a 2,500-milligram calcium supplement every day." A daily calcium supplement of 2,500 mg exceeds the recommended upper limit for most adults, which is about 2,000 mg per day from supplements. Excessive calcium intake can lead to hypercalcemia, kidney stones, and other complications. Supplement dosage should be based on individual needs and prescribed by a healthcare provider.
C. "I should avoid dairy products, including cheese: Dairy products such as cheese, milk, and yogurt are rich sources of dietary calcium. Avoiding them would reduce calcium intake, which is counterproductive for a client with hypocalcemia. Unless contraindicated due to lactose intolerance or allergies, these foods are encouraged to help manage low calcium levels.
D. "I should expect my blood pressure to be very low." Hypocalcemia does not typically result in very low blood pressure. In fact, it more commonly causes neuromuscular symptoms such as muscle cramps, tetany, and tingling sensations. Low calcium levels may have some cardiovascular effects, but persistent hypotension is not a hallmark feature of hypocalcemia.