A nurse is performing postmortem care on a client. Which of the following actions should the nurse take?

Choice A reason: Ocular strabismus (crossed eyes) is not expected at 24 months. By this age, ocular alignment should be normal. Persistent strabismus beyond 6 months of age requires evaluation for possible vision problems.

Choice B reason: Slightly bowed legs are expected in toddlers due to normal physiologic development. This finding is common as children transition from crawling to walking and usually resolves by age 3 to 4 years. It is considered a normal variation at 24 months.

Choice C reason: Toddlers at 24 months should demonstrate an abdominal breathing pattern, not thoracic. Thoracic breathing is more characteristic of older children and adults. Therefore, this finding would not be expected.

Choice D reason: The anterior fontanelle typically closes between 12 and 18 months. At 24 months, it should already be closed. An anterior fontanelle less than 1 cm at this age would be abnormal and suggest delayed closure.

Choice A reason: Insomnia is a common adverse effect of desvenlafaxine, an SNRI antidepressant. By increasing serotonin and norepinephrine levels, the medication can cause heightened alertness and difficulty sleeping. This is a well-documented side effect and should be monitored.

Choice B reason: Weight loss is not a typical adverse effect of desvenlafaxine. While some antidepressants may affect appetite, desvenlafaxine is more likely to cause nausea or decreased appetite rather than significant weight loss.

Choice C reason: Diarrhea can occur with some antidepressants, but it is not a primary adverse effect of desvenlafaxine. Gastrointestinal upset is more commonly seen as nausea rather than persistent diarrhea.

Choice D reason: Increased salivation is not associated with desvenlafaxine. Antidepressants may cause dry mouth due to anticholinergic effects, but excessive salivation is not expected.