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 B

Explanation

A. Consume small frequent meals throughout the day. Small, frequent meals reduce the volume of food entering the small intestine at one time, helping to prevent symptoms of dumping syndrome.

B. Lie down immediately after eating to aid digestion. Although lying down after eating can slow gastric emptying and help prevent dumping syndrome, it does not aid in digestion.

C. Include high-carbohydrate foods in every meal. High-carbohydrate foods are likely to worsen symptoms of dumping syndrome by causing rapid glucose absorption, which leads to a spike in insulin and subsequent hypoglycemia.

D. Drink fluids with meals to aid in digestion. Fluids should be taken between meals rather than with meals to avoid rapid gastric emptying and prevent dumping syndrome.

A. Hypotension B. Dry mucous membranes C. Increased thirst D. Confusion or altered mental status

Correct Answer is D

Explanation

A. Hypotension: Patients with SIADH typically have fluid retention, which can lead to hypertension, not hypotension.

B. Dry mucous membranes: In SIADH, fluid retention is common, so mucous membranes are usually moist, not dry.

C. Increased thirst: While thirst can occur in various conditions, it is not a primary symptom of SIADH.

D. Confusion or altered mental status: Confusion or altered mental status may occur in SIADH due to hyponatremia from excessive water retention.

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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. Consume small frequent meals throughout the day. Small, frequent meals reduce the volume of food entering the small intestine at one time, helping to prevent symptoms of dumping syndrome.

Correct Answer is B

Explanation

A patient with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) may present with which of the following symptoms?

Correct Answer is D

Explanation

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