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 D
Explanation
- Rationale for Choice A: Pulmonary hygiene is important for preventing pneumonia, especially in bedridden clients. However, it is not specific to the care of a client with leukemia unless they have a respiratory complication which necessitates such an intervention.
- Rationale for Choice B: Airborne precautions are typically used for clients who have infections that can be transmitted through the air, such as tuberculosis. Leukemia does not require airborne precautions unless the client has a coexisting airborne infection.
- Rationale for Choice C: Regular turning of the client can help prevent pressure ulcers and is a good practice for any bedridden patient. However, the use of powder is controversial as it can cake and lead to skin breakdown, and is not specifically indicated for leukemia care.
- Rationale for Choice D: Assessing the client's urine for odor and cloudiness is an important part of care for clients with leukemia. They are at increased risk for urinary tract infections due to immunosuppression, and changes in urine can indicate an infection that needs prompt treatment.
Correct Answer is B
Explanation
Choice A rationale:
Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.
Choice B rationale:
Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.
Choice C rationale:
Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.
Choice D rationale:
Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.
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