What should the nurse teach the patient who has endocarditis about preventing recurrence of the infections?

Always maintain continuous antibiotic therapy to prevent the development of any systemic infection.

Take one aspirin a day to prevent vegetative lesions from forming around the valves.

Obtain prophylactic antibiotic therapy before certain invasive medical or dental procedures.

Start on antibiotic therapy when exposed to persons with infections.

Answer and Explanation

The Correct Answer is C

A.   Continuous antibiotic therapy is not typically recommended for preventing recurrence of endocarditis. Instead, endocarditis prophylaxis involves administering antibiotics only before certain invasive procedures that have a risk of introducing bacteria into the bloodstream.
B.   Taking aspirin is not a recommended strategy for preventing endocarditis or vegetative lesions on heart valves. The formation of vegetative lesions in endocarditis is related to the presence of infection and not typically prevented by aspirin.
C.   This is the correct recommendation for preventing recurrence of endocarditis. Prophylactic antibiotics are recommended before certain invasive procedures, such as dental work or surgery, to prevent bacteria from entering the bloodstream and causing endocarditis. This is especially important for patients with prosthetic heart valves, a history of endocarditis, or certain congenital heart defects.
D.   Starting antibiotic therapy based on exposure to persons with infections is not a standard or effective strategy for preventing endocarditis. The focus of endocarditis prevention is on specific prophylaxis before high-risk procedures rather than general antibiotic use based on exposure to infected individuals.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. An imaging test that uses sound waves to visualize the heart and its structures. It can help to identify abnormalities in the heart muscle, such as thickening, enlargement, or decreased contractility. Echocardiograms are a valuable tool for diagnosing cardiomyopathy and assessing the severity of the condition.
B. Cardiac enzyme studies are used to diagnose myocardial infarction (heart attack). While they can be helpful in evaluating cardiac function, they are not the most specific test for diagnosing cardiomyopathy.
C. Cardiac catheterization is an invasive procedure that is used to diagnose and treat certain heart conditions. While it can provide valuable information about the heart's function, it is not the most appropriate initial test for diagnosing cardiomyopathy.
D. This procedure is used to treat certain types of arrhythmias. It is not a diagnostic test and would not be appropriate for diagnosing cardiomyopathy.

A. Resume activities that can cause jolting, such as horseback riding, after 4 weeks. B. Request to be scanned with a handheld metal detector when in the airport. C. Do not have a microwave oven in the home D. Report hiccups to the provider E. Count your pulse for 1 min each morning. F. Do not wear tight clothing over the insertion area.

Correct Answer is ["B","D","E","F"]

Explanation

A. Patients with a newly inserted pacemaker are generally advised to avoid high-impact activities or those that can cause jolting or trauma to the chest area for a period longer than 4 weeks, usually around 6 to 8 weeks.
B. Metal detectors can interfere with the pacemaker's function, so it's important to inform airport security personnel about the device.
C. This instruction is outdated and generally unnecessary. Modern pacemakers are not affected by microwave ovens, and there is no need to avoid having one in the home. Microwaves emit radiation that does not interfere with pacemaker function.
D. Hiccups can be a sign of pacemaker malfunction and should be reported to the healthcare provider.
E. Monitoring the pulse rate can help to detect any changes in heart rhythm that may indicate pacemaker malfunction.
F. Tight clothing can restrict movement and irritate the skin around the insertion site.

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What should the nurse teach the patient who has endocarditis about preventing recurrence of the infections?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted with suspected cardiomyopathy. What diagnostic test would be most helpful with the identification of this disorder?

Correct Answer is A

Explanation

A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["B","D","E","F"]

Explanation

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