A client who is 2-weeks postpartum presents with feelings of irritability, severe mood swings, and an irrational sense of her ability to keep her infant safe. She believes the infant is going to die, and there is nothing she can do to save her baby. The practical nurse (PN) should recognize the client may be exhibiting symptoms of which condition?
Postpartum depression.
Postpartum blues.
Postpartum dysphoria.
Postpartum psychosis.
The Correct Answer is D
The practical nurse (PN) should recognize that the client who is 2-weeks postpartum and presents with feelings of irritability, severe mood swings, and an irrational sense of her ability to keep her infant safe may be exhibiting symptoms of postpartum psychosis. Postpartum psychosis is a rare but serious condition that can develop after childbirth and is characterized by symptoms such as delusions, hallucinations, and severe mood swings. The client's belief that her infant is going to die and that there is nothing she can do to save her baby may indicate the presence of delusions. The PN should report these symptoms to the appropriate healthcare provider for further assessment and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Athlete's foot is a fungal infection, and antibiotics are not effective against fungi. The PN should inform the client that they need to use an antifungal medication instead of an antibiotic.
Correct Answer is A
Explanation
In this situation, the practical nurse (PN) should coach the client to take slow, deep breaths during each contraction. The client has already been medicated with butorphanol and promethazine for pain relief and it may not be appropriate to administer another dose at this time. Instead, the PN can provide non- pharmacological pain relief measures such as coaching the client to use breathing techniques to help manage the pain during contractions. The other actions listed may also be appropriate in some situations, but coaching the client to use breathing techniques is the most appropriate action in this situation.
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