Ms. J is an alcoholic who has previously reported that she has not eaten food for at least the past ...

Ms. J is an alcoholic who has previously reported that she has not eaten food for at least the past 3 months. She stated that her sole source of kilocalories had been in the form of alcohol.
 
  The physician has ordered a high-kilocalorie, high-protein diet. Ms. J has eaten 100 of the three high-kilocalorie, high-protein meals received thus far. While reviewing her laboratory reports, the nurse notices her serum phosphorus, magnesium, and calcium values are decreased. The nurse should:
  1. Contact the client's physician and notify him or her of the recently obtained laboratory values
  2. Encourage the client to continue to eat the high-kilocalorie, high-protein diet as ordered
  3. Offer the client a 500-kcal complete nutritional supplement, which was previously ordered by the physician, sent up from the dietary department
  4. Contact the physician for an extra dose of thiamin and niacin