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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.

Choice B reason:

Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.

Choice C reason:

Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.

Choice D reason:

This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.

A. Increased alertness B. Diaphoresis C. Blood glucose 50 mg/dL D. Urine ketones +3

Correct Answer is C

Explanation

Choice A reason:

Increased alertness may be a sign of improved glucose levels, but it is not as direct an indicator as a blood glucose measurement.

Choice B reason:

Diaphoresis is a symptom of low blood glucose levels and indicates the need for intervention rather than effectiveness of therapy.

Choice C reason:

A blood glucose level of 50 mg/dL is within the normal range and indicates that the glucagon therapy has been effective in raising blood glucose levels.

Choice D reason:

The presence of urine ketones indicates that the body is using fats for energy, which may occur in the absence of adequate glucose. This is not an indicator of the effectiveness of glucagon therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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