The nurse is consulting with a 16-year-old diagnosed with chlamydia who is reluctant to treat this disease pharmacologically. The nurse will monitor for which complication in this patient?

Choice A reason: Difficulty sleeping and extreme fatigue are common postpartum symptoms, but they do not indicate an immediate emergency. This patient can be seen after addressing more urgent concerns.

Choice B reason: A patient who believes someone is going to steal their baby may be experiencing postpartum psychosis or severe anxiety. This is a serious mental health concern that requires immediate attention from a healthcare provider to ensure the safety and well-being of both the patient and the baby.

Choice C reason: Having a baby in the neonatal intensive care unit is certainly stressful and requires support, but it does not indicate an immediate medical emergency for the postpartum patient themselves. This patient can be seen after more urgent cases are addressed.

Choice D reason: A teenager who is 6 weeks postpartum with the flu requires medical care, but the symptoms of the flu are generally not as urgent as the mental health concerns presented by a patient experiencing severe anxiety or psychosis. This patient can be seen after more critical cases are attended to.

Choice A reason: Preparing to hang hypotonic fluids is not the immediate priority in this situation. While hydration is important for managing sickle cell anaemia, the infant's respiratory distress and low oxygen saturation levels indicate that addressing oxygenation should be the first step. Hypotonic fluids may be considered after stabilizing the patient's breathing and oxygen levels.

Choice B reason: Administering oxygen via nasal cannula is the priority intervention given the infant's symptoms. The infant has increased work of breathing, a fever, coarse crackles upon auscultation, and low oxygen saturation (89%). Providing supplemental oxygen is crucial to improve oxygenation and alleviate respiratory distress. Prompt intervention is necessary to prevent further complications and stabilize the patient's condition.

Choice C reason: Providing patient education on acute chest syndrome is important, but it is not the immediate priority in this emergency situation. Education can be given once the infant's acute symptoms are managed and stabilized. The focus should be on addressing the critical needs first, such as oxygenation and respiratory support.

Choice D reason: Giving a dose of morphine sulphate may help manage pain, but it is not the first priority in this scenario. The infant's respiratory status and oxygenation levels are more critical and require immediate attention. Pain management can be addressed after ensuring the infant's breathing and oxygen levels are stabilized.