A nurse is reinforcing teaching with the parents of a child who has infective endocarditis. Which of the following instructions should the nurse include in the teaching?

Discontinue antibiotics when the fever has resolved.

Antibiotics might cause splinter hemorrhages under the child's nails.

Obtain prophylactic antibiotics for family members.

Antibiotics will be needed prior to dental work.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Discontinuing antibiotics when the fever has resolved is not an appropriate instruction for a child with infective endocarditis. The full course of antibiotics should be completed.

Choice B reason:

While antibiotics can have side effects, splinter hemorrhages under the child's nails are not a common side effect of antibiotic use for infective endocarditis.

Choice C reason:

Obtaining prophylactic antibiotics for family members is not a standard practice for infective endocarditis.

Choice D reason:

This statement is correct. Antibiotics are needed prior to certain dental procedures for children with infective endocarditis to prevent bacterial endocarditis.

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Correct Answer is D

Explanation

Choice A reason:

This is a high dose for a 2 year old child.

Choice B reason:

Aspirin is contraindicated for children with viral infections due to the risk of Reye's syndrome. It should not be administered.

Choice C reason:

Placing the child in an ice bath is an overly aggressive intervention and can lead to hypothermia. It is not recommended.

Choice D reason:

Lowering the temperature of the room is important in reducing external temperature to help cool the baby.

A. Tinnitus B. Negative Kernig sign C. Vomiting D. Headache E. Seizures

Correct Answer is ["C","D","E"]

Explanation

Choice A reason:

Tinnitus - Tinnitus (ringing in the ears) is not typically associated with bacterial meningitis. The focus is on central nervous system symptoms and signs of meningeal irritation.

Choice B reason:

Negative Kernig sign - This is a classic sign of meningeal irritation. In bacterial meningitis, the Kernig sign will be positive, indicating resistance and pain upon extension of the knee after flexing the hip.

Choice C reason:

Vomiting - Nausea and vomiting are common symptoms of bacterial meningitis. They are caused by increased intracranial pressure and meningeal irritation.

Choice D reason:

Headache - Headache is a common symptom of bacterial meningitis, often severe and accompanied by other signs of meningeal irritation.

Choice E reason:

Seizures - Seizures can occur in bacterial meningitis due to the inflammation and irritation of the brain.

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A nurse is reinforcing teaching with the parents of a child who has infective endocarditis. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D","E"]

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