The nurse caring for a client with a diagnosis of subinvolution understands that which of the following is a primary cause of this diagnosis?
1. Afterpains
2. Retained placental fragments from delivery
3. Increased progesterone levels
4. Increased estrogen levels
2
Rationale: Retained placental fragments and infections are the primary causes of subinvolution. When either of these processes is present, the uterus has difficulty contracting. The presence of afterpains is an expected finding following delivery. The options "increased progesterone levels" and "increased estrogen levels" are not causes of subinvolution.
You might also like to view...
A nurse and his girlfriend witness a motor vehicle accident. The calls 911 and pulls over to the side of the road. The nurse assesses the victim and determines that he is unconscious. His girlfriend says, "This guy can't give you permission to help him;
maybe you should just leave him alone." The nurse explains that he has implied consent. When is implied consent assumed? A. At the time a person sees a physician or nurse by appointment in the office or clinic setting B. When a person arrives in the operating suite for a surgical procedure. C. On the person's admission to the hospital unit. D. If the person is treated at the scene of an accident
A patient is given 1 mg of dexamethasone at 11:00 PM; a plasma cortisol level recorded at 8:00 PM the next day is normal. The nurse knows that this is an indication that the patient has what condition?
a. Addison's disease b. Congenital adrenal hyperplasia c. Cushing's syndrome d. Secondary adrenal insufficiency
A patient is taking intravenous aminophylline for a severe exacerbation of chronic obstructive pulmonary disease. The nurse will assess for which therapeutic response?
a. Increased sputum production b. Increased heart rate c. Increased respiratory rate d. Increased ease of breathing
A client comes into the prenatal clinic accompanied by her boyfriend. When asked by the nurse why she is there, the client looks down, and the boyfriend states, "She says she is pregnant
She constantly complains of feeling tired, and her vomiting is disgusting." What is a priority for the nurse to do at this point? 1. Ask the client what time of the day her fatigue is more common. 2. Recommend that the woman have a pregnancy test done as soon as possible. 3. Continue the interview of the client in private. 4. Give the woman suggestions on ways to decrease the vomiting.