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) The answer is A. Premedicating with an antipyretic before the dental procedure can help prevent bacterial endocarditis, a severe infection in clients with certain congenital heart diseases.
B) Incorrect. Antibiotic prophylaxis is recommended for some clients with congenital heart diseases to prevent bacterial endocarditis. The client should consult their healthcare provider for appropriate prophylactic measures.
C) Incorrect. The timing of the surgery in the afternoon does not significantly impact recovery. The appropriate timing should be determined by the healthcare provider and the client's medical condition.
D) Incorrect. Aspirin is an anticoagulant, and the client should consult their healthcare provider about the management of aspirin therapy before any surgical procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This option is incorrect. Maternal age is a non-modifiable risk factor. However, it is important to educate parents about other factors they can control during pregnancy.
B) This option is incorrect. Family history of heart diseases is a non-modifiable risk factor since it relates to the genetic predisposition for certain conditions.
C) Correct answer. Exposure to environmental toxins can be a modifiable risk factor if expectant parents take appropriate measures to avoid exposure to harmful substances during pregnancy. This may include avoiding certain chemicals, pollutants, and teratogenic agents.
D) This option is incorrect. Genetic inheritance is a non-modifiable risk factor for congenital heart diseases, as it relates to the transmission of genes from parents to their children.
Correct Answer is A
Explanation
A) The answer is A. Before administering digoxin, the nurse should check the infant's apical heart rate for a full minute. Digoxin is a medication used to improve cardiac contractility, and knowing the heart rate helps ensure the medication is given safely and at the correct dose.
B) Incorrect. While measuring blood pressure is essential in some cases, it is not the priority action before administering digoxin.
C) Incorrect. Assessing capillary refill time is an important part of the overall assessment, but it is not the priority action before giving digoxin.
D) Incorrect. While observing for respiratory distress is crucial, it is not the priority action in this specific scenario of preparing to administer digoxin. Checking the heart rate takes precedence.
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