The nurse is calling postpartum clients. Which client should be seen immediately? The client at four weeks postpartum who:
1. Describes feeling sad all the time.
2. Reports hearing voices talking about the baby.
3. States she has no appetite and wants to sleep all day.
4. Says she needs a refill on her sertraline (Zoloft) next week.
2
Rationale:
1. This is an indication the client is experiencing postpartum blues, and is not the highest priority.
2. This is an indication the client is experiencing postpartum psychosis, and is the highest priority, because the voices might tell her to harm her baby.
3. This is an indication the client is experiencing postpartum depression, but is not the highest priority.
4. A client on medications needs refills on time, but right now she has medication, and therefore is not a high priority.
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