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?
Please take your wife to the nearest emergency room for evaluation.
Please bring your wife to the office for medication.
Your wife needs outpatient care.
Your wife needs behavioral therapy.
The Correct Answer is A
Choice A rationale:
Advising the caller to take his wife to the nearest emergency room for evaluation is the appropriate response. The new mom's symptoms, including confusion and auditory hallucinations (conversations with herself), are indicative of a serious mental health condition. These symptoms could be caused by postpartum psychosis, a rare but severe form of postpartum depression. Postpartum psychosis requires immediate medical attention and hospitalization for the safety of both the mother and the baby. It is essential to rule out any potential medical causes and provide appropriate psychiatric evaluation and treatment in an emergency setting.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation. The symptoms described by the baby's father are severe and require urgent evaluation in an emergency room. Medication management should only be initiated after a comprehensive psychiatric evaluation, which can be conducted in an emergency room setting.
Choice C rationale:
Suggesting outpatient care is not appropriate in this case. The severity of the symptoms, including confusion and hallucinations, indicates the need for immediate evaluation in an emergency setting. Outpatient care is not sufficient for addressing acute psychiatric emergencies.
Choice D rationale:
Recommending behavioral therapy is not appropriate for a situation involving acute confusion and hallucinations. Behavioral therapy is a valuable treatment for various mental health conditions, but it is not the appropriate intervention for acute symptoms like those described in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. While staying hydrated is important, consuming a fat-free carbohydrate before getting out of bed may not be sufficient to alleviate nausea and vomiting. Eating small, frequent meals throughout the day, as suggested in choice B, can help stabilize blood sugar levels and prevent the stomach from becoming too empty, which can contribute to nausea.
Choice B rationale:
Eat small, frequent meals (every 2 to 3 hours). Eating small, frequent meals can help manage nausea and vomiting during pregnancy. Having something in the stomach at all times can prevent the stomach from becoming completely empty, reducing the likelihood of nausea. Additionally, choosing easily digestible foods can further alleviate symptoms.
Choice C rationale:
Increase her intake of high-fat foods to keep the stomach full and coated. Increasing intake of high-fat foods is not advisable, as they can be harder to digest and may exacerbate nausea. The focus should be on consuming small, low-fat, easily digestible meals throughout the day.
Choice D rationale:
Limit fluid intake throughout the day. Limiting fluid intake is not recommended, especially during pregnancy. It's important for pregnant women to stay hydrated. Dehydration can worsen nausea and may lead to other complications. Encouraging adequate fluid intake between meals can also help manage nausea.
Correct Answer is D
Explanation
Choice A rationale:
The child's fever in Kawasaki disease is typically unresponsive to antibiotics. The disease primarily affects blood vessels and can lead to the development of coronary artery aneurysms. Antibiotics are not the mainstay of treatment for Kawasaki disease.
Choice B rationale:
Kawasaki disease does not primarily involve the joints. It is a systemic vasculitis that affects medium-sized arteries throughout the body, including the coronary arteries. Joint involvement is not a characteristic feature of this condition.
Choice C rationale:
Aspirin is actually a crucial part of the treatment for Kawasaki disease. High-dose aspirin therapy (80-100 mg/kg/day) is administered until the child is afebrile, then the dose is reduced and continued for several weeks to prevent blood clots and inflammation in the coronary arteries.
Choice D rationale:
This is the correct answer. The therapeutic management of Kawasaki disease includes the administration of intravenous immunoglobulin (IVIG) and aspirin. IVIG helps reduce inflammation and prevent coronary artery abnormalities, while high-dose aspirin is used for its anti-inflammatory and antiplatelet effects. This combination of treatments has been shown to be effective in reducing the risk of coronary artery complications associated with Kawasaki disease.
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