A client with a history of congenital heart disease is scheduled for dental surgery. What precaution should the nurse recommend to the client?
Premedicate with an antipyretic before the dental procedure.
Avoid using antibiotic prophylaxis for the dental surgery.
Schedule the surgery in the afternoon for better recovery.
Continue taking aspirin before the surgery.
The Correct Answer is A
A. Clients with congenital heart disease are at increased risk for infective endocarditis following invasive dental procedures. Prophylactic antibiotics are commonly prescribed prior to certain dental surgeries to reduce this risk. Premedicating as prescribed helps prevent potential infection-related complications.
B. Avoiding antibiotic prophylaxis would place the client at higher risk for developing infective endocarditis, particularly if the dental procedure involves manipulation of gingival tissue or perforation of oral mucosa.
C. The time of day the surgery is scheduled does not reduce the risk associated with bacteremia during dental procedures. Infection prevention is the primary concern.
D. Continuing aspirin before surgery may increase the risk of bleeding, depending on the clinical situation and provider recommendations. Decisions regarding antiplatelet therapy should be clarified with the healthcare provider rather than automatically continued.
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Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Not all medications are safe to use during pregnancy, and some may pose risks to the developing baby, including potential congenital heart defects.
B) Correct answer. Some medications, like certain antihypertensives and medications with known teratogenic effects, can increase the risk of congenital heart diseases if used during pregnancy. It is essential for pregnant individuals to work closely with their healthcare providers to manage any medical conditions and choose safe medications during pregnancy.
C) This option is incorrect. Some vaccinations are recommended during pregnancy to protect both the mother and the baby from certain infections. Properly administered vaccinations during pregnancy are generally safe and do not significantly impact heart development.
D) This option is incorrect. Medication use during pregnancy can have various effects on the developing baby, and certain medications may increase the risk of congenital heart diseases.
Correct Answer is C
Explanation
A) Incorrect. Prostaglandin E1 does not directly increase hemoglobin levels or oxygenation in the blood.
B) Incorrect. Prostaglandin E1 helps maintain the patency of the ductus arteriosus to ensure adequate blood flow to systemic circulation, especially in certain congenital heart diseases. It does not reduce pulmonary blood flow and pressure.
C) The answer is C. Prostaglandin E1 is used to keep the ductus arteriosus open, allowing blood to flow from the pulmonary artery to the aorta. In certain congenital heart diseases, such as critical congenital heart defects, this is necessary to ensure adequate blood circulation.
D) Incorrect. Prostaglandin E1 does not promote the growth of cardiac muscle tissue. Its primary therapeutic effect is related to the patency of the ductus arteriosus.
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