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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Correct Answer is D

Explanation

A. Muffled heart sounds can be a sign of cardiac tamponade, but they should improve after a successful pericardiocentesis.
B. Jugular venous distention is another sign of cardiac tamponade. If the procedure was effective, the jugular venous distention should decrease.
C. Dyspnea is a common symptom of cardiac tamponade. If the procedure was effective, the client should experience relief from dyspnea.
D. This procedure involves draining excess fluid from the pericardial sac, which can provide immediate relief from the symptoms of cardiac tamponade. If the procedure was effective, the client should experience immediate relief from their symptoms, such as chest pain, shortness of breath, and tachycardia.

A. Teach community members to seek medical treatment for streptococcal pharyngitis. B. Teach about prophylactic antibiotics to those with family history of rheumatic fever. C. Vaccinate high-risk groups in the community with streptococcal vaccine. D. Teach about the importance of monitoring temperature when sore throats occur.

Correct Answer is A

Explanation

A. Rheumatic fever is a complication that can arise from untreated or inadequately treated streptococcal pharyngitis (strep throat). Educating community members about the importance of seeking medical treatment for strep throat is crucial because timely antibiotic treatment can prevent the development of rheumatic fever.
B. Prophylactic antibiotics are often recommended for individuals who have had rheumatic fever or have a family history of the condition to prevent recurrence. While this is important for secondary prevention in high-risk individuals, it is more of a targeted approach rather than a broad community health strategy.
C. Currently, there is no widely available vaccine specifically for streptococcal infections or rheumatic fever. Research is ongoing, but no vaccine has been proven effective and available for general use in preventing streptococcal infections.
D. Monitoring temperature during a sore throat can help identify an infection, but it does not directly address the prevention of rheumatic fever. The key issue is ensuring that sore throats are evaluated and treated appropriately to prevent complications like rheumatic fever.

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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

The nurse is evaluating the condition of a client after pericardiocentesis performed to treat cardiac tamponade. Which observation would indicate that the procedure was effective?

Correct Answer is D

Explanation

Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?

Correct Answer is A

Explanation

The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?

A nurse is caring for a client who has infective endocarditis. Which of the following manifestations is the priority for the nurse to monitor for?

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