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.

Answer and Explanation

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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Correct Answer is A

Explanation

C) Incorrect. Dairy products rich in calcium are not contraindicated with enalapril use. Calcium and ACE inhibitors do not have direct interactions.

D) Incorrect. Foods high in vitamin B12 are not contraindicated with enalapril use. There is no specific dietary restriction regarding vitamin B12 intake for clients taking this medication.

A. Ethnic background and cultural practices B. Prenatal vitamin and mineral supplementation C. Fetal movements and kicking patterns D. Employment and work-related stress levels

Correct Answer is A

Explanation

A) Correct answer. Ethnic background and cultural practices can influence the risk of congenital heart diseases. Some genetic and environmental factors that contribute to heart defects may vary among different ethnic groups.

B) This option is incorrect. While prenatal vitamin and mineral supplementation is important for maternal and fetal health, it is not a specific risk factor for congenital heart diseases.

C) This option is incorrect. Fetal movements and kicking patterns are important indicators of fetal well-being, but they are not directly related to the risk of congenital heart diseases.

D) This option is incorrect. Employment and work-related stress levels are not known risk factors for congenital heart diseases.

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A client with a history of congenital heart disease is scheduled for dental surgery. What precaution should the nurse recommend to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a congenital heart disease is prescribed enalapril. The nurse should instruct the client to avoid consuming which food while on this medication?

Correct Answer is A

Explanation

A nurse is assessing a pregnant client's risk factors for congenital heart diseases. Which information should the nurse prioritize during the assessment?

Correct Answer is A

Explanation

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