A nurse is caring for a client who is 2 hr postoperative. Which of the following findings should the nurse report to the provider?

Rationale:
A. A client who describes feeling disconnected from those around him following the hurricane: Emotional detachment or a sense of estrangement from others is a hallmark symptom of posttraumatic stress disorder (PTSD).

B. A client who describes having persistent feelings of anger about the hurricane: Ongoing irritability, anger, or emotional outbursts several months after a traumatic event may indicate unresolved trauma or hyperarousal, which are common features of PTSD.

C. A client who has frequent nightmares about the hurricane: Recurrent distressing dreams or flashbacks related to the traumatic event are hallmark re-experiencing symptoms of PTSD. Such nightmares suggest the trauma continues to affect the client’s sleep and mental health, justifying referral for further assessment.

D. A client who moved to an apartment located on higher ground than her previous home: Moving to a new location demonstrates adaptive coping and an effort to regain a sense of safety. This behavior does not indicate the presence of PTSD symptoms.

E. A client who expresses a realization that life will not return to the way it was before the hurricane: Acceptance and acknowledgment of change represent a healthy adjustment process. While grief or sadness may accompany this awareness, it reflects adaptation rather than pathological stress or trauma.

Rationale:
A. "Store and eat luncheon deli meats cold while pregnant.": Cold deli meats can harbor Listeria monocytogenes, which can cause listeriosis and increase the risk of miscarriage or fetal infection. Pregnant clients should heat deli meats until steaming before consumption to reduce this risk.

B. "Wash all fruits thoroughly before consumption during pregnancy.": Washing fruits removes dirt, bacteria, and potential contaminants such as Listeria or Toxoplasma, reducing the risk of food-borne illness. This is a key preventive measure for maintaining maternal and fetal health.

C. "Consumption of raw fish is safe during pregnancy if done in moderation.": Raw fish can contain parasites and bacteria such as Salmonella, or Toxoplasma. Pregnant clients should avoid raw or undercooked fish entirely to prevent serious infections that can harm the fetus.

D. "Food-borne illnesses are more difficult to contract while pregnant.": Pregnancy actually increases susceptibility to certain food-borne illnesses due to immunologic changes. Pregnant clients should follow strict food safety measures to protect both maternal and fetal health.