Physiological Adaptation Q 54

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Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should:

  

     A. Plan care so the client can receive 8 hours of uninterrupted sleep each night.

     B. Monitor vital signs every 2 hours.

     C. Make sure that the client takes food and medications at prescribed intervals.

     D. Provide milk every 2 to 3 hours.

    

    

Correct Answer: C. Make sure that the client takes food and medications at prescribed intervals.

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Food and drug therapy will prevent the accumulation of hydrochloric acid or will neutralize and buffer the acid that does accumulate.

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Option A: Uninterrupted sleep for 8 hours is good, but it does not directly affect the production of acid.

Option B: Monitoring vital signs every 2 hours is unnecessary. It can be monitored every shift or every 4 hours.

Option D: Milk could aggravate the production of hydrochloric acid. The nutrients in milk, particularly fat, may stimulate the stomach to produce more acid.

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