A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

A. Vitamin D is synthesized in the skin in response to exposure to ultraviolet B (UVB) rays from sunlight. When the skin is exposed to sunlight, specifically UVB rays, a chemical reaction occurs that converts 7- dehydrocholesterol (a substance found in the skin) into vitamin D3 (cholecalciferol). This form of vitamin D is then converted into its active form in the liver and kidneys.
B. This is not related to the formation of vitamin D. While vitamin A is important for overall health and vision, it does not play a role in the synthesis of vitamin D. Vitamin D formation is independent of vitamin A levels in the body.
C. This is not a direct trigger for vitamin D formation. While weight-bearing exercise is important for bone health and can improve overall musculoskeletal function, it does not influence the production of vitamin D in the body. The synthesis of vitamin D is primarily influenced by exposure to sunlight.
D. Calcium does not trigger vitamin D formation. While calcium and vitamin D are closely related, with vitamin D being essential for optimal calcium absorption, the presence of calcium does not affect the synthesis of vitamin D. Instead, calcium levels influence how much vitamin D is needed to ensure proper calcium absorption.

A. While staying hydrated is important for overall health and can help with urinary tract infections, the recommended fluid intake for clients on ciprofloxacin is not specifically 1,000 milliliters. The more general advice is to drink plenty of fluids to help flush out bacteria from the urinary tract. The nurse should emphasize the importance of hydration but not specify a particular amount like 1,000 milliliters unless otherwise directed.
B. Ciprofloxacin should not be taken with antacids that contain calcium, magnesium, or aluminum because these can interfere with the absorption of the medication, reducing its effectiveness. Antacids should be taken at least 2 hours before or 6 hours after taking ciprofloxacin to avoid interactions.
C. Ciprofloxacin does not typically cause urine to turn dark orange. This side effect is more commonly associated with other medications, such as rifampin. The nurse should not expect ciprofloxacin to change the color of urine and should clarify any specific effects related to the medication.
D. Ciprofloxacin and other fluoroquinolones are associated with an increased risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The nurse should instruct the client to report any new or worsening tendon pain, swelling, or discomfort immediately.