The nurse recognizes that which of the following individuals should receive prophylactic antibiotics to prevent infective endocarditis (IE)? (Select all that apply.)
a. A 56-year-old with a history of mitral valve prolapse scheduled for routine dental cleaning
b. A 68-year-old with a history of atrial fibrillation scheduled for a root canal
c. A 71-year-old with a history of infective endocarditis scheduled for a tooth extraction
d. A 76-year-old with a history of cardiac valve repair scheduled for a colonoscopy
e. A 69-year-old with a history of congenital heart disease who is having an abscess drained
f. A 55-year-old with a history of angina scheduled for arthroscopic knee surgery
ANS: C, E
In 2007, the American Heart Association released new guidelines based on a review of the evidence that revised the guidelines so that fewer people require prophylaxis. Only for those with cardiac conditions associated with highest risk for adverse outcomes from IE—prosthetic cardiac valve or valve repair, history of IE, some forms of congenital heart disease, or valvulopathy after cardiac transplantation—is it reasonable to have prophylaxis before some types of dental procedures, or respiratory tract, infected skin, skin structures, or musculoskeletal tissue procedures. Prophylaxis for procedures on the genitourinary or gastrointestinal tract is no longer recommended. (Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on
You might also like to view...
When measuring a patient's body temperature, the nurse keeps in mind that body temperature is influenced by:
a. Constipation. b. Patient's emotional state. c. Diurnal cycle. d. Nocturnal cycle.
A nurse who practices in a clinic that provides genetic counseling has obtained a client's family history. This nurse has consequently completed the first step in what process?
A) Establishing the pattern of inheritance B) Influencing the client's genetic future C) Answering the client's genetic questions D) Answering the client's relational questions
A nurse is caring for a child diagnosed with childhood traumatic grief after witnessing the death of a family member. Which clinical therapy or therapies will be most appropriate for the client?
Select all that apply. A) Complicated grief treatment B) Psychotherapy C) Grief counseling D) Bereavement groups E) Provision of reassurance
What is the major effect of a health crisis on family structure?
A) adaptation to stress C) respect for family values B) change in roles of family members D) loss of individual identities