Final answer:
The primary intervention for a postpartum client expressing exhaustion, soreness from breastfeeding, and feelings of failure should be to assess for postpartum depression. Emotional and psychological health is critical in the postpartum period and should be addressed before exploring feeding options such as breastfeeding or formula-feeding.
Step-by-step explanation:
The issue presented involves a postpartum client who is expressing feelings of exhaustion, soreness from breastfeeding, a sense of failure, and difficulty getting out of bed, which could be indicative of postpartum depression. The most appropriate nurse intervention before notifying the physician would be to assess for postpartum depression. This is crucial as the emotional and psychological well-being of the client is paramount and should take precedence over the decision between breastfeeding and formula-feeding.
Importance of Postpartum Depression Assessment
Postpartum depression is a serious health concern that can affect a mother's ability to care for herself and her newborn. The symptoms mentioned by the client warrant an immediate and thorough assessment. This assessment should not only encompass the emotional and mental health status but also consider the physical difficulties she is experiencing with breastfeeding.
Supporting Breastfeeding and Formula-Feeding Decisions
After evaluating the client for postpartum depression, the nurse can address the client's concerns about feeding by discussing both breastfeeding and formula-feeding options. Providing balanced information will help the client make an informed decision that is best for her and her baby's health. While breastfeeding is beneficial, formula-feeding is a viable option and education on either method should be provided without judgment.