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A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry.

She is confused and having conversations with herself.

What is the appropriate response that the nurse should make?

A.

Please take your wife to the nearest emergency room for evaluation.

B.

Please bring your wife to the office for medication.

C.

Your wife needs outpatient care.

D.

Your wife needs behavioral therapy.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
The symptoms described by the baby's father, including confusion and having conversations with herself, are concerning and could indicate a severe mental health issue or a neurological problem. Urgent evaluation in an emergency room is necessary to rule out any acute medical or psychiatric condition that could be causing these symptoms. This is crucial for ensuring the safety and well-being of both the mother and the newborn.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation without a proper evaluation. The symptoms described are severe and require immediate attention in an emergency room setting, where comprehensive assessments can be conducted.
Choice C rationale:
Outpatient care is not suitable for the described symptoms. The mother's confusion and hallucinations suggest a severe condition that requires urgent evaluation in a controlled environment like an emergency room. Outpatient care might be considered after the initial assessment and stabilization, but the immediate concern is the acute nature of the symptoms.
Choice D rationale:
Behavioral therapy is not appropriate for the described
 


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Related Questions

Correct Answer is A

Explanation

To calculate the estimated date of confinement (EDC) using Nagele's rule, follow these steps:

  1. Take the first day of the last menstrual period (LMP).

  2. Add 7 days to that date.

  3. Count back 3 months.

  4. Add 1 year to the resulting date, and that will be the EDC.

In this case, the client's LMP started on December 1.

  1. December 1

  2. December 8 (adding 7 days)

  3. September 8 (counting back 3 months)

  4. Add 1 year: September 8 of the following year

So, the most accurate EDC for the client using Nagele's rule would be September 8 of the following year.

Correct Answer is ["A","C","D","E"]

Explanation

The correct answer ischoices A, C, D, and E.

Choice A rationale:

A respiratory rate of 36 breaths/minute at rest is concerning in a pediatric client, as it may indicate respiratory distress or an underlying respiratory condition.

Choice B rationale:

An increasing appetite is generally a positive sign and not typically concerning unless accompanied by other symptoms.

Choice C rationale:

A temperature above 37.7° C (100° F) is concerning as it indicates fever, which could be a sign of infection or other medical conditions.

Choice D rationale:

New, frequent coughing is concerning as it may indicate respiratory infections, asthma, or other respiratory issues.

Choice E rationale:

Turning blue or bluer than normal (cyanosis) is a serious symptom indicating inadequate oxygenation and requires immediate medical attention.

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