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 B
Explanation
A. "You should allow your child to play any sport they want to play.": Allowing unrestricted participation in all sports ignores the increased bleeding risk associated with hemophilia. High-impact or contact sports could result in serious injury or joint bleeding. Safety precautions and age-appropriate activity selection are necessary.
B. "You should allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear.": Children with hemophilia benefit from physical activity to maintain muscle strength, joint mobility, and overall health. Encouraging safe, age-appropriate activities with protective equipment balances activity participation with minimal bleeding risk.
C. "You should not allow your child to ride a bike or go skateboarding with their classmates.": Overly restrictive guidance can limit the child’s development, socialization, and confidence. With proper supervision, protective equipment, and selection of low-risk activities, many activities can be safely performed. Total restriction is unnecessary.
D. "You should not allow your child to play any sport due to the risk of injury.": Complete avoidance of sports can lead to decreased muscle strength, reduced joint function, and psychosocial consequences such as isolation or low self-esteem. Education should focus on safe participation rather than forbidding all activity.
Correct Answer is D
Explanation
A. Immediately arrange for the removal of the child's body to the morgue to allow the family privacy: Removing the body too quickly can prevent the family from spending meaningful time with their child and interfere with the grieving process. Privacy should be maintained while allowing time for farewell.
B. Use language such as "passed away" when discussing the child's death to soften the impact: Gentle language is supportive but does not actively address the family’s needs to see, touch, and say goodbye to their child, which is critical in the immediate aftermath of death.
C. Delay any contact with the family until the attending physician pronounces the death to avoid interfering with medical protocols: While confirmation of death is necessary, supportive presence can begin immediately once death is imminent or pronounced, ensuring the family is not left alone during intense grief.
D. Encourage the family to participate in bathing and collecting mementos, explaining the changes they may observe in the child's body: Allowing the family to engage in care activities and creating mementos supports emotional closure, helps with the grieving process, and provides compassionate care while preparing them for the natural changes that occur after death.
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