A nurse is reinforcing teaching with the parents of a child who has infective endocarditis. Which of the following instructions should the nurse include in the teaching?
Discontinue antibiotics when the fever has resolved.
Antibiotics might cause splinter hemorrhages under the child's nails.
Obtain prophylactic antibiotics for family members.
Antibiotics will be needed prior to dental work.
The Correct Answer is D
Choice A reason:
Discontinuing antibiotics when the fever has resolved is not an appropriate instruction for a child with infective endocarditis. The full course of antibiotics should be completed.
Choice B reason:
While antibiotics can have side effects, splinter hemorrhages under the child's nails are not a common side effect of antibiotic use for infective endocarditis.
Choice C reason:
Obtaining prophylactic antibiotics for family members is not a standard practice for infective endocarditis.
Choice D reason:
This statement is correct. Antibiotics are needed prior to certain dental procedures for children with infective endocarditis to prevent bacterial endocarditis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Choice A Rationale: Preschoolers may personify death as a character or monster due to their developmental stage and exposure to media, but this is not a universal belief and may not be helpful in a teaching context.
- Choice B Rationale: Preschoolers often conceptualize death as a reversible or temporary condition, similar to sleep, due to their limited understanding of the permanence of death, making this an appropriate statement for the nurse to include.
- Choice C Rationale: While preschoolers may express curiosity about death, their understanding is concrete and they may not grasp abstract concepts about what happens after death, thus this statement might not be entirely accurate for all preschoolers.
- Choice D Rationale: Preschoolers may have fears related to death, but these are more often related to separation from parents or changes in routine rather than physical changes during dying, which they may not fully comprehend.
Correct Answer is B
Explanation
Choice A reason:
Administering digoxin should be based on the infant's specific heart rate and the healthcare provider's prescription, rather than a specific pulse value.
Choice B reason:
Allowing for frequent rest periods is important for an infant with heart failure, as it helps conserve energy and reduce cardiac workload.
Choice C reason:
Feeding duration should be based on the infant's tolerance and ability to feed effectively, rather than a specific time frame.
Choice D reason:
Maintaining the infant in a supine position can help with respiratory function but should be balanced with appropriate positioning to prevent aspiration and promote comfort. It is not the sole action to include in the plan of care.
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