The nurse continues to care for the client.

A nurse on the inpatient mental health unit is planning care for the client.

For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated for the client.

A. Fundus 2 fingerbreadths above the umbilicus: This finding relates to uterine involution rather than urinary elimination. While important for postpartum assessment, it does not indicate restored bladder function.

B. Uterine atony: Uterine atony is a complication that increases the risk of postpartum hemorrhage. It does not provide information about the client’s ability to void and requires separate monitoring and intervention.

C. Fundus firm and to the right of the abdominal midline: A firm but displaced fundus may indicate a full bladder, which can interfere with urination. This finding suggests bladder distention rather than restored urinary elimination.

D. Two voids of 150 mL each over the past 2 hr: Adequate urine output in regular intervals indicates that the bladder is emptying effectively. Measuring volume and frequency confirms the client’s ability to eliminate urine has been restored postpartum.

A. Offer high-calorie, high-protein snacks to the client: Providing nutrient-dense snacks helps address nutritional deficits caused by decreased appetite in depression. High-calorie, high-protein foods can improve energy levels, support overall health, and help prevent weight loss, which is a common concern in clients with depression.

B. Encourage the client to eat foods selected by the dietitian: While following a dietitian’s plan is beneficial, clients with depression and poor appetite may be resistant to structured meal plans. Offering flexible, appealing snacks is more practical and effective for ensuring adequate intake.

C. Weigh the client once each day: Daily weighing can be stressful or discouraging for clients with depression and may not directly improve nutritional intake. Weight monitoring is important but is secondary to actively supporting adequate nutrition through appealing foods.

D. Recommend the family provide the client privacy during meals: Privacy during meals may be helpful for some clients, but clients with depression often require encouragement, social support, and practical assistance to eat. Simply providing privacy may not address the underlying lack of appetite or insufficient nutrient intake.