A nurse is providing education to a patient who has a new prescription for alendronate for the treatment of osteoporosis.
Which of the following instructions should the nurse include?

Choice A rationale

Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.

Choice B rationale

Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.

Choice C rationale

While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.

Choice D rationale

Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.

Choice A rationale

Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.

Choice B rationale

Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.

Choice C rationale

Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.

Choice D rationale

Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.