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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 A

Explanation

Rationale:

A. Petechiae are small, pinpoint red or purple spots on the skin that may indicate bleeding or thrombocytopenia, which can be a side effect of heparin therapy.

B. Slowing pulse rate is not typically associated with heparin therapy.

C. Confusion is not typically associated with heparin therapy.

D. Pruritus (itching) is not typically associated with heparin therapy.

A. Nitroglycerin B. Carvedilol C. Atorvastatin D. Metformin

Correct Answer is D

Explanation

Rationale:

A. Nitroglycerin does not interact with contrast material.

B. Carvedilol does not interact with contrast material.

C. Atorvastatin does not interact with contrast material.

D. Metformin can interact with contrast material and increase the risk of acute kidney injury. It is typically held before and after procedures involving contrast material.

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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

A nurse is caring for a client who is receiving intravenous heparin therapy for deep vein thrombosis. The nurse evaluates for side effects of this drug by observing for:

Correct Answer is A

Explanation

A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?

Correct Answer is D

Explanation

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