A mother (G1 P1 T1 PO AO L1) diagnosed with postpartum depression expresses feelings of hopelessness. Which nursing diagnosis is the priority?
Ineffective coping
Risk for impaired parenting
Anxiety
Risk for self-harm
The Correct Answer is D
A. Ineffective coping is important but secondary to addressing the immediate safety of the client.
B. While impaired parenting is a concern, the safety of the mother takes precedence over her ability to care for her child.
C. Anxiety is a symptom but does not pose as immediate a threat to the client’s well-being as the risk of self-harm.
D. Feelings of hopelessness in a mother diagnosed with postpartum depression can indicate a risk for self-harm or suicide. The priority is to ensure the client's safety, as these feelings are a critical sign of potential harm to themselves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A level of 1.8 mEq/L is too high for initial treatment, as it is above the therapeutic range.
B. A level of 1.8 mEq/L is not within the maintenance treatment level, which is typically 0.6–1.2 mEq/L.
C. The level is above the therapeutic level, not below it.
D. A lithium level of 1.8 mEq/L is above the therapeutic range (0.6–1.2 mEq/L) and is considered toxic. Toxicity can lead to serious side effects like tremors, confusion, and renal dysfunction.
Correct Answer is C
Explanation
A. Respiratory acidosis would present with a low pH (acidotic) and a high PaCO2, which is not the case here.
B. Metabolic alkalosis would be suggested by an elevated pH and elevated HCO3, but here, the bicarbonate level is normal (24 mEq/L).
C. Respiratory alkalosis is indicated by a pH of 7.50 (alkalosis) and a PaCO2 of 30 mmHg, which is lower than the normal range (35-45 mmHg). This low PaCO2 suggests that the patient is hyperventilating, likely due to anxiety, which causes the body to excrete too much CO2.
D. Metabolic acidosis would present with a low pH and a low bicarbonate level, neither of which are seen in this case.
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