The nurse is performing wellness checks for postpartum clients after hospital discharge via the telephone. Which client should be seen immediately?
1. The client who at 4 weeks postpartum describes feeling sad all the time.
2. The client who at 2 weeks postpartum reports hearing voices talking about the baby.
3. The client who at 1 week postpartum states that she has no appetite and feels tired all the time.
4. The client with a history of depression who states she needs a refill on her sertraline (Zoloft) in 1 week.
2
Explanation:
1. While this may indicate postpartum blues or postpartum depression, this client does not require an immediate appointment to be seen.
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. While this may indicate postpartum blues or postpartum, this client does not require an immediate appointment to be seen.
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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