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A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.

The client will need annual flu vaccine

Update Covid 19 vaccination

You will require antibiotics before dental work.

Avoid sick contacts

Answer and Explanation

The Correct Answer is C

Rationale:

A. The client may need an annual flu vaccine, but this is not specific to infective endocarditis.

B. Updating the Covid-19 vaccination is important, but this is not specific to infective endocarditis.

C. The client will require antibiotics before dental work to prevent the spread of bacteria from the mouth to the heart.

D. Avoiding sick contacts is important for general health but is not specific to infective endocarditis.

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Correct Answer is D

Explanation

Rationale:

A. Discontinuing heparin abruptly without achieving therapeutic levels of warfarin increases the risk of thrombus formation.

B. Heparin and warfarin have different mechanisms of action, but they both serve to prevent clot formation.

C. Heparin and warfarin do not directly affect each other's therapeutic effects.

D. Warfarin takes time to reach therapeutic levels and become effective, so heparin is continued until warfarin is fully active.

A. Hypocalcemia B. Hypernatremia C. Hyperkalemia D. Hypokalemia

Correct Answer is D

Explanation

Rationale:

A. Hypocalcemia is a decreased level of calcium in the blood and is not associated with furosemide use.

B. Hypernatremia is an increased level of sodium in the blood and is not associated with furosemide use.

C. Hyperkalemia is an increased level of potassium in the blood and is not associated with furosemide use.

D. Hypokalemia is a decreased level of potassium in the blood and is a major adverse effect of furosemide use.

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A nurse is caring for a client with infective endocarditis with involvement of the tricuspid valve. Which of the following is the appropriate education the nurse should provide to the client prior to discharge.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client with heart failure who takes furosemide 20mg daily at home and is receiving 40mg of furosemide IV daily in the hospital. The nurse is aware that this patient is at risk for what electrolyte imbalance?

Correct Answer is D

Explanation

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