The nurse observes a client on a clear liquid diet has a cup of coffee on the breakfast tray. Which action should the nurse implement?

Choice A reason: Coffee is permitted on a clear liquid diet as long as no milk or creamer is added. The nurse should remind the client of this restriction to ensure compliance with dietary orders while still allowing the client to enjoy the beverage. Choice B reason: Determining which staff member brought the coffee does not address the dietary concern. This action may be useful for accountability but does not resolve the immediate issue of whether coffee is appropriate for the diet. Choice C reason: Consulting with the dietitian is unnecessary because coffee without additives is already recognized as part of a clear liquid diet. The nurse should have the knowledge to make this decision without delay. Choice D reason: Removing the coffee is not necessary and may unnecessarily restrict the client. Since coffee is allowed, this action would deprive the client of a permitted item and could reduce satisfaction with the diet.