A nurse is providing education regarding dental visits to the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?
"My child only needs to take antibiotics for dental visits if they actively have infectious endocarditis at the time of the visit."
"My child should take prophylactic antibiotics before dental visits or invasive oral procedures."
“My child should take antibiotics only after the dental visit."
"My child only needs to take prophylactic antibiotics if they had infectious endocarditis within the 6 months preceding a dental visit."
The Correct Answer is B
A. "My child only needs to take antibiotics for dental visits if they actively have infectious endocarditis at the time of the visit.": Prophylactic antibiotics are not based on the presence of active infection. Children with a history of infective endocarditis are at ongoing risk due to transient bacteremia from dental procedures.
B. "My child should take prophylactic antibiotics before dental visits or invasive oral procedures.": Current guidelines recommend antibiotic prophylaxis prior to dental procedures that manipulate gingival tissue or perforate oral mucosa in clients with a history of infective endocarditis. This reduces the risk of bacteremia leading to recurrence.
C. “My child should take antibiotics only after the dental visit.": Antibiotics given after the procedure do not effectively prevent bacteremia that occurs during dental manipulation. Prophylaxis is most effective when administered before the procedure.
D. "My child only needs to take prophylactic antibiotics if they had infectious endocarditis within the 6 months preceding a dental visit.": A history of infective endocarditis is considered a lifelong indication for prophylaxis for certain dental procedures, not one limited by time since the last infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. “There is an increased workload on the right side of the heart, making the muscle thinner and harder for the heart to pump blood through the body.": Cardiomyopathy typically involves the ventricles rather than just the right side of the heart, and ventricular muscle often becomes thickened or dilated rather than thinner initially.
B. "There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body.": While left-sided involvement can occur, cardiomyopathy often affects both ventricles, not solely the left side.
C. “There is an increased workload in the right and left atria, making the muscle thinner and harder for the heart to pump blood through the body.": The atria are not the primary sites affected in cardiomyopathy; pathology predominantly affects the ventricles, which manage the major pumping workload.
D. “There is an increased workload in the right and left ventricles, making the muscle thicker and harder for the heart to pump blood through the body.": Cardiomyopathy causes the ventricular muscle to undergo hypertrophy or dilation due to increased workload, impairing effective pumping. This accurately reflects the pathophysiology and ventricular involvement.
Correct Answer is B
Explanation
A. "Schools are no longer required to offer special education classrooms; they are being phased out to save money for the school district.": Public schools are legally required under the Individuals with Disabilities Education Act (IDEA) to provide appropriate education, including special education services, so this statement is inaccurate and misleading.
B. "Studies show that children who have mild cognitive disabilities experience more enhanced development in an inclusive classroom.": Inclusive classrooms allow children with mild cognitive disabilities to engage academically and socially alongside neurotypical peers, supporting skill development and promoting greater educational outcomes.
C. "Including children who have mild cognitive disabilities in a classroom with that has neurotypical children will encourage socialization with your child.": While socialization can be a benefit, the focus is broader than socialization alone; inclusive settings also improve academic engagement and overall development.
D. "School administration will observe your child for one year before making a placement decision.": Placement decisions for students with disabilities are made based on individualized education program (IEP) assessments, not arbitrary observation periods, making this statement inaccurate.
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