SIMCLEX 2 Review
In mastitis, we would want the client to continue breastfeeding in order to promote clearance
of the milk. The only time the client should be instructed to stop breastfeeding is if an
abscess develops. TRUE OR FALSE
TRUE
Warm compresses can also help for comfort and to keep milk moving to prevent clogged
ducts, which can get infected. Antibiotics are necessary too
In which products are probiotics most commonly found?
Sauerkraut, gouda, cheddar and mozzarella cheese, miso soup, sourdough bread, dark
chocolate, and yogurt.
Probiotics are typically found in fermented products
While jaundice that develops around ____________ days after birth can be normal
(classified as physiological jaundice), jaundice ____________ after birth is concerning
(pathological jaundice). This newborn must be further evaluated to determine the cause.
TRUE OR FALSE
3; immediately
Discuss compartment syndrome
The client with a crush injury is at risk of developing compartment syndrome, in which there
is swelling and increased pressure within the compartment of a limb underneath the fascia
membrane. The swelling may build to a point where it cuts off nerve sensation and occludes
circulation. Emergency treatment involves a fasciotomy, which cuts into the affected tissue to
relieve the pressure.
Neutropenic precautions include
Neutropenic precautions include thorough hand washing, a low microbial diet (no fresh
salads, fruits, vegetables, uncooked meats), a daily room cleaning, nothing per rectum,
dedicated equipment for the client, and a private room.
Common findings on preterm infants
Increased lanugo
,Lanugo are the fine hairs that provide warmth and earlier gestation infants will have more
hairs.
Vernix caseosa
Skin is more transparent on preterm babies.
Transparent skin
Vernix is the white coating that is protective and more vernix means earlier gestation.
Preterm babies have temp instability
Creases indicate a term baby (not preterm) because the baby has had longer to have
creases form.
Aspirin can decrease renal function, so it should not be given to clients who suffer
from__________________________
renal insufficiency
Aspirin does not adversely affect clients with Hepatic insufficiency.
Chronic venous insufficiency occurs when there is ____________________ blood return to
the heart through the veins in the lower legs. The client with chronic venous insufficiency
may have a brown or red discoloration of the skin in the ________________ extremities.
Other symptoms of chronic venous insufficiency include non-healing ulcers, pain, and
edema.
poor; distal
What is Serotonin Syndrome ?
Serotonin syndrome occurs when an antidepressant is taken in combination with certain
other drugs including; antidepressants, opioids and/or migraine medications.
Serotonin syndrome occurs when drugs interact to cause excessive accumulation of
serotonin in the body. This syndrome leads to symptoms of agitation, confusion, muscle
rigidity, and headache.
flat area of pigmentation
macule (usually <10mm) A patch is a larger macule >10mm
, ________________occurs when a child's eczema becomes infected with the herpes virus.
Acyclovir would be administered to treat the herpes infection.
Eczema herpeticum; Acyclovir
Symptoms of arterial occlusion include
Symptoms of arterial occlusion include sudden, severe pain, a feeling of cold, pallor and
absence of a pulse.
______________________errors are ways in which a client's prescription orders are
incorrectly put in the chart.
Transcription
True or false - it is vital to obtain blood cultures before starting antibiotics
TRUE
A client with spinal shock is expected to have these signs/symptoms
hypotensive, have bradycardia, decreased visceral reflexes and flaccid paralysis of skeletal
muscles.
___________________ is a test that involves inserting a tube into the client's throat and
advancing it into the lungs, where the provider can visualize the lung fields.
Bronchoscopy
Bronchoscopy may be performed for conditions such as visualizing a tumor that has
developed in the lung, taking a sample of tissue from an abscess or from mucus in the
respiratory tract, or finding and removing a foreign object that has entered the lung fields.
An infant that was just born has a 1 minute apgar of 5 and a 5 minute apgar of 6. What is the
priority nursing intervention for this infant?
Repeat the apgar score at 10 minutes
A repeat score is needed at 10 minutes since at 5 min it was below 7.
Findings should be charted, but normal newborn care should not be started yet because the
baby is not stable, since the 5 minute apgar was less than 7. The baby should be monitored
and APGAR repeated at 10 minutes.
In mastitis, we would want the client to continue breastfeeding in order to promote clearance
of the milk. The only time the client should be instructed to stop breastfeeding is if an
abscess develops. TRUE OR FALSE
TRUE
Warm compresses can also help for comfort and to keep milk moving to prevent clogged
ducts, which can get infected. Antibiotics are necessary too
In which products are probiotics most commonly found?
Sauerkraut, gouda, cheddar and mozzarella cheese, miso soup, sourdough bread, dark
chocolate, and yogurt.
Probiotics are typically found in fermented products
While jaundice that develops around ____________ days after birth can be normal
(classified as physiological jaundice), jaundice ____________ after birth is concerning
(pathological jaundice). This newborn must be further evaluated to determine the cause.
TRUE OR FALSE
3; immediately
Discuss compartment syndrome
The client with a crush injury is at risk of developing compartment syndrome, in which there
is swelling and increased pressure within the compartment of a limb underneath the fascia
membrane. The swelling may build to a point where it cuts off nerve sensation and occludes
circulation. Emergency treatment involves a fasciotomy, which cuts into the affected tissue to
relieve the pressure.
Neutropenic precautions include
Neutropenic precautions include thorough hand washing, a low microbial diet (no fresh
salads, fruits, vegetables, uncooked meats), a daily room cleaning, nothing per rectum,
dedicated equipment for the client, and a private room.
Common findings on preterm infants
Increased lanugo
,Lanugo are the fine hairs that provide warmth and earlier gestation infants will have more
hairs.
Vernix caseosa
Skin is more transparent on preterm babies.
Transparent skin
Vernix is the white coating that is protective and more vernix means earlier gestation.
Preterm babies have temp instability
Creases indicate a term baby (not preterm) because the baby has had longer to have
creases form.
Aspirin can decrease renal function, so it should not be given to clients who suffer
from__________________________
renal insufficiency
Aspirin does not adversely affect clients with Hepatic insufficiency.
Chronic venous insufficiency occurs when there is ____________________ blood return to
the heart through the veins in the lower legs. The client with chronic venous insufficiency
may have a brown or red discoloration of the skin in the ________________ extremities.
Other symptoms of chronic venous insufficiency include non-healing ulcers, pain, and
edema.
poor; distal
What is Serotonin Syndrome ?
Serotonin syndrome occurs when an antidepressant is taken in combination with certain
other drugs including; antidepressants, opioids and/or migraine medications.
Serotonin syndrome occurs when drugs interact to cause excessive accumulation of
serotonin in the body. This syndrome leads to symptoms of agitation, confusion, muscle
rigidity, and headache.
flat area of pigmentation
macule (usually <10mm) A patch is a larger macule >10mm
, ________________occurs when a child's eczema becomes infected with the herpes virus.
Acyclovir would be administered to treat the herpes infection.
Eczema herpeticum; Acyclovir
Symptoms of arterial occlusion include
Symptoms of arterial occlusion include sudden, severe pain, a feeling of cold, pallor and
absence of a pulse.
______________________errors are ways in which a client's prescription orders are
incorrectly put in the chart.
Transcription
True or false - it is vital to obtain blood cultures before starting antibiotics
TRUE
A client with spinal shock is expected to have these signs/symptoms
hypotensive, have bradycardia, decreased visceral reflexes and flaccid paralysis of skeletal
muscles.
___________________ is a test that involves inserting a tube into the client's throat and
advancing it into the lungs, where the provider can visualize the lung fields.
Bronchoscopy
Bronchoscopy may be performed for conditions such as visualizing a tumor that has
developed in the lung, taking a sample of tissue from an abscess or from mucus in the
respiratory tract, or finding and removing a foreign object that has entered the lung fields.
An infant that was just born has a 1 minute apgar of 5 and a 5 minute apgar of 6. What is the
priority nursing intervention for this infant?
Repeat the apgar score at 10 minutes
A repeat score is needed at 10 minutes since at 5 min it was below 7.
Findings should be charted, but normal newborn care should not be started yet because the
baby is not stable, since the 5 minute apgar was less than 7. The baby should be monitored
and APGAR repeated at 10 minutes.
