Med sure Rationales.docx - Rationale Retained placental fragments and infection are the primary causes of subinvolution When either of these processes

Med sure Rationales.docx - Rationale Retained placental...

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Rationale: Retained placental fragments and infection are the primary causes of subinvolution. When either of these processes is present, the uterus will have difficulty contracting. The presence of afterpains and a temperature of 99.0°F (37.2°C) after delivery are expected findings. Hormonal levels are not a cause of subinvolution and are unrelated to the subject of the question. Rationale: The phases through which young children progress when separated from their parents include protest, despair, and denial or detachment. In detachment, when the parents return, the child becomes more interested in the environment and new persons (seemingly unaware of the lost parents), friendly with the staff, and interested in developing superficial relationships. In the stage of protest, the child may cry, scream, and search for a parent. In the stage of despair, the child may be withdrawn and uninterested in the environment. That the child is withdrawn, is self-centered, or has adjusted to the hospital setting are incorrect interpretations of the child's behavior. Rationale: A depressed client may eat small amounts of food because large amounts may seem overwhelming. If the client becomes overwhelmed, he or she may respond by withdrawing further. Forcing foods and fluids and restricting social activities will cause further withdrawal by the client since both will be viewed as a punishment. Providing snacks and meals when the client requests them will not ensure adequate nutritional intake. Rationale: The normal aPTT varies between 28 and 35 seconds (28 and 35 seconds), depending on the type of activator used in testing. The therapeutic dose of heparin for treatment of deep vein thrombosis is to keep the aPTT between 1.5 (42 to 52.5) and 2.5 (70 to 87.5) times normal. This means that the client's value should not be less than 42 seconds or greater than 87.5 seconds. Thus the client's aPTT is within the therapeutic range and the dose should remain unchanged. Rationale: After hypospadias repair, the parents are instructed to avoid giving the child a tub bath until the stent has been removed, to prevent infection. Diapers are placed on the child to prevent contamination of the surgical site. Toilet training should not be an issue during this stressful period. Fluids should be encouraged to maintain hydration. Rationale: Pregnant adolescents are at higher risk for complications. Peer pressure is an important influence on nutritional status. Adolescents often are concerned about their body image. If weight is a major focus for the adolescent, the adolescent is more likely to restrict calories to avoid weight gain. The correct option is the only one that suggests a possible psychosocial problem. The remaining options relate to physiological issues.
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Rationale: Sun protection is essential during radiation treatments. The child should not be exposed to sun during these treatments because of the risk of an alteration of skin integrity. The statements in the remaining options reflect appropriate measures for the child during radiation therapy.
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