Nokea
A postpartum client exhibits signs of postpartum psychosis, including hallucinations, delusions, and disorganized behavior. Which nursing intervention is most appropriate?
- A. Administering antipsychotic medication as ordered
- B. Encouraging the client to participate in group therapy sessions
- C. Providing education on coping skills and stress management
- D. Notifying the healthcare provider immediately
Correct Answer: D
Rationale: When a postpartum client exhibits signs of postpartum psychosis such as hallucinations, delusions, and disorganized behavior, it is crucial to involve the healthcare provider immediately. Postpartum psychosis is a psychiatric emergency that requires prompt assessment and intervention by mental health professionals. The healthcare provider can determine the appropriate course of action, which may include hospitalization, medication management, and specialized psychiatric care. Delaying notification can lead to serious consequences for both the client and her infant, so timely intervention is essential in managing postpartum psychosis.
You may also like to solve these questions
The foundation of medication administration is the application for the "Rights of Medication Administration." which of the following is NOT included in these rights?
- A. Right route
- B. Right dosage
- C. Right patient
- D. Right price.
Correct Answer: D
Rationale: The "Rights of Medication Administration" include the following fundamental principles to ensure safe medication administration: right patient, right medication, right dosage, right route, right time, and right documentation. The price of the medication is not a part of these essential rights. These rights help to prevent medication errors and ensure that patients receive the correct medication in the correct way.
Which of the following is a common complication associated with untreated clubfoot in infants?
- A. Scoliosis
- B. Hip dysplasia
- C. Osteomyelitis
- D. Cerebral palsy
Correct Answer: B
Rationale: Hip dysplasia is a common complication associated with untreated clubfoot in infants. If clubfoot is not treated promptly and properly, it can lead to abnormal development of the hip joint, resulting in hip dysplasia. This condition involves the abnormal formation of the hip socket, which can cause instability and potential dislocation of the hip joint. Early identification and treatment of clubfoot are important in preventing complications such as hip dysplasia.
Which assessment findings is INDICATIVE of the diagnosis of hypertension?
- A. Family members with high blood pressure
- B. Elevation of blood cholesterol level
- C. Stressful work environment
- D. Consistent evaluation of blood pressure
Correct Answer: D
Rationale: The assessment finding that is indicative of the diagnosis of hypertension is consistent evaluation of blood pressure. Hypertension is diagnosed based on repeated measurements of elevated blood pressure. Consistently high blood pressure readings, usually defined as systolic blood pressure consistently at or above 140 mmHg and diastolic blood pressure consistently at or above 90 mmHg, are a key factor in diagnosing hypertension. Family history of high blood pressure (Choice A), elevation of blood cholesterol level (Choice B), and a stressful work environment (Choice C) may be risk factors for hypertension but are not diagnostic criteria. In order to diagnose hypertension, healthcare providers rely on consistent measurement and evaluation of blood pressure over time.
In response to chronic hypoxia, which physiological adaptation occurs in the body to increase oxygen delivery to tissues?
- A. Decreased erythropoietin production
- B. Decreased red blood cell production
- C. Increased cardiac output
- D. Decreased ventilation rate
Correct Answer: C
Rationale: In response to chronic hypoxia, the body adapts to increase oxygen delivery to tissues by increasing cardiac output. This is achieved by increasing the heart rate and stroke volume, allowing more oxygenated blood to be pumped to the tissues. The increased cardiac output helps compensate for the lower oxygen levels in the blood, ensuring that tissues receive an adequate supply of oxygen despite the hypoxic conditions. This physiological adaptation is essential for maintaining tissue oxygenation and supporting overall cellular function in the presence of chronic hypoxia.
Which of the following conditions is characterized by inflammation of the prostate gland, typically presenting with dysuria, urinary frequency, urgency, and perineal or pelvic pain?
- A. Prostate cancer
- B. Benign prostatic hyperplasia (BPH)
- C. Prostatitis
- D. Urethritis
Correct Answer: C
Rationale: Prostatitis is characterized by inflammation of the prostate gland, leading to symptoms such as dysuria (painful urination), urinary frequency, urinary urgency, and perineal or pelvic pain. Prostate cancer, on the other hand, is characterized by the presence of malignant cells in the prostate gland and may not present with these typical symptoms. Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that can cause urinary symptoms but is not typically associated with inflammation. Urethritis refers to inflammation of the urethra, which is a different condition and may present with symptoms such as painful urination and discharge from the urethra.