A home health nurse is assessing a client who is 2 weeks postpartum. The nurse should identify that which of the following client reports is an Indication of postpartum depression and should be investigated further.
Hot flashes
Intermittent abdominal pain
Blurred vision
Feelings of intense guilt
The Correct Answer is D
Choice A rationale:
Hot flashes are not typically associated with postpartum depression; they are more related to hormonal changes.
Choice B rationale:
Intermittent abdominal pain is common after childbirth due to uterine contractions and involution.
Choice C rationale:
Blurred vision is not a typical symptom of postpartum depression.
Choice D rationale:
Feelings of intense guilt are indicative of postpartum depression and require further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.
Choice B rationale:
Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.
Choice C rationale:
Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.
Choice D rationale:
Amitriptyline can cause urinary retention rather than increased urination.
Correct Answer is B
Explanation
Choice A rationale:
High-impact exercises might not be suitable for all clients and could potentially exacerbate symptoms such as joint pain or discomfort.
Choice B rationale:
Menopause is confirmed after 12 consecutive months without a menstrual period. Until this point, there is still a risk of pregnancy, and contraceptive measures should be used.
Choice C rationale:
Pelvic muscle exercises (Kegel exercises) are important for strengthening pelvic floor muscles but are not specifically related to menopause.
Choice D rationale:
Using a water-based lubricant for painful vaginal intercourse is a helpful suggestion, but it is not the primary focus of menopause education.
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