The nurse assesses the postpartum client and finds the client at ...

[ghost!]

The nurse assesses the postpartum client and finds the client at risk for postpartum psychosis secondary to a history of previous postpartum psychosis and obsessive-type personality. The nurse will:
 
  1. Consult Social Services and child protection agencies.
  2. Teach family members signs and symptoms to watch for and report.
  3. Assess the client frequently for signs and symptoms of psychosis.
  4. Request and administer antipsychotic medications.

Question 2

The nurse caring for a diabetic client with chronic renal failure classifies the client's hypertension as:
 
  1. Primary.
  2. Secondary.
  3. Malignant.
  4. Genetic.

[CourtneyCNorton]

Answer to Question 1

2
Rationale: Postpartum psychosis often does not develop for several weeks or months after delivery, so it is important for the nurse to teach family members the signs and symptoms of psychosis and instruct them to notify the provider if those signs and symptoms are noted.

Answer to Question 2

2
Rationale: The client's hypertension is classified as secondary when the cause is due to another disease process and the cause is known. Primary hypertension is classified when the cause is unknown. Malignant hypertension is an uncontrolled elevated blood pressure that can be life-threatening if not brought down near normal levels. There is no such thing as the classification of genetic hypertension, although genetics can be a contributory factor to developing hypertension.