The nurse is providing discharge teaching to patient with infective endocarditis. Which of the following statements by the patient indicates a need for further teaching?

I should monitor my temperature regularly and report any fevers to my healthcare provider.

I need to inform my healthcare provider about any new symptoms, such as shortness of breath or chest pain.

I can stop taking my antibiotics once I feel better.

I will need to take antibiotics before dental procedures.

Answer and Explanation

The Correct Answer is C

A. "I should monitor my temperature regularly and report any fevers to my healthcare provider." This statement shows correct understanding. Fever may indicate worsening infection or complications, so it’s important to monitor and report any fevers.

B. "I need to inform my healthcare provider about any new symptoms, such as shortness of breath or chest pain." This statement shows understanding. New symptoms, especially respiratory or cardiac, could signify complications, and should be reported.

C. "I can stop taking my antibiotics once I feel better." This indicates a need for further teaching. Completing the full course of antibiotics is crucial to ensure the infection is completely eradicated, even if symptoms improve.

D. "I will need to take antibiotics before dental procedures." Patients with infective endocarditis often require prophylactic antibiotics before dental procedures to prevent bacterial entry into the bloodstream.

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Correct Answer is D

Explanation

A. Mild wheezing: Mild wheezing can be a common symptom in COPD and does not immediately indicate a severe complication unless it worsens suddenly.

B. Fatigue and general malaise: Fatigue and malaise are often chronic in COPD and do not necessarily indicate an acute complication.

C. Increased sputum production: While increased sputum could suggest an infection, it is not the most urgent sign of a severe complication.

D. Sudden onset chest pain and dyspnea: Sudden chest pain and dyspnea are concerning for a pneumothorax or pulmonary embolism, both of which are potential complications in COPD and require immediate attention.

A. Reduction of inflammation and suppression of the immune responses B. Stimulation of nerve regeneration C. Improvement in cognitive function D. Increase in muscle strength and coordination

Correct Answer is A

Explanation

A. Reduction of inflammation and suppression of immune responses. Methylprednisolone is a corticosteroid that reduces inflammation and suppresses immune responses, which can help manage the acute exacerbations of MS.

B. Stimulation of nerve regeneration. Methylprednisolone does not stimulate nerve regeneration; it focuses on reducing inflammation.

C. Improvement in cognitive function. Cognitive improvement is not a primary goal of methylprednisolone in MS management, though reducing inflammation may indirectly benefit cognition.

D. Increase in muscle strength and coordination. While reducing inflammation can improve symptoms, methylprednisolone itself does not directly increase muscle strength or coordination.

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The nurse is providing discharge teaching to patient with infective endocarditis. Which of the following statements by the patient indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a history of COPD Is being monitored for potential complications. Which of the following findings should the nurse report immediately as it may indicate the development of a complication?

Correct Answer is D

Explanation

A patient with multiple sclerosis (MS) is receiving treatment with methylprednisolone during an acute exacerbation. Which of the following is the expected therapeutic effect of this treatment?

Correct Answer is A

Explanation

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