The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client indicates that the teaching was effective?

Rationale: A. A salad with three kinds of lettuce and fruit: While this meal is rich in vitamins and fiber, it lacks a significant source of protein necessary for wound healing. Leafy greens and fruits contribute micronutrients but provide minimal protein content. B. A peanut butter sandwich with soda and cookies: Peanut butter contains some protein, but the overall meal is high in sugar and low in high-quality protein. The presence of soda and cookies further reduces the nutritional adequacy for promoting wound healing. C. Vegetable soup, crackers, and milk: Milk does provide some protein, but the rest of the meal is low in protein-dense items. Vegetable soup and crackers are mostly carbohydrates and contribute very little to the client’s protein requirements. D. A tuna fish sandwich with chips and ice cream: Tuna is a high-quality source of complete protein, which is essential for tissue repair. Though chips and ice cream are not ideal nutritionally, the inclusion of tuna makes this the most protein-rich option to support wound healing.