A client with endocarditis is receiving antibiotic therapy. Which priority should the practical nurse (PN) consider in planning this client's care and activities of daily living (ADL)?
Constipation and dietary modification.
Sequencing activities with rest periods.
Oral antibiotic administration.
Personal hygiene and oral care.
The Correct Answer is B
A. Constipation and dietary modification:
Not the primary concern for endocarditis; activity tolerance is more important.
B. Sequencing activities with rest periods:
Clients with endocarditis experience fatigue due to infection and cardiac workload; rest is essential.
C. Oral antibiotic administration:
Route of administration is less important than ensuring completion of treatment, often given IV.
D. Personal hygiene and oral care:
Important but not the priority over conserving energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Withhold the medication and notify the charge nurse: Not needed; goiter is common in hypothyroidism, and there are no swallowing/breathing issues.
B. Administer the oral medication with a glass of water as scheduled: No contraindication; continue therapy as prescribed.
C. Place the client on NPO status: Not indicated unless airway compromise or swallowing difficulty is present.
D. Crush the medication and mix with applesauce: Levothyroxine should be taken whole with water on an empty stomach for optimal absorption.
Correct Answer is D
Explanation
A. Restrict family visitation: Family support may help anxiety; restriction is not helpful.
B. Administer PRN opioid analgesic: Opioids relieve pain and dyspnea in palliative care, improving comfort.
C. Apply a non-rebreather mask: Not appropriate for chronic CO₂ retainers; could worsen hypercapnia.
D. Place client in high Fowler's position: Helps breathing but does not address pain; could be done after pain relief.
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