Home care teaching is being completed by the nurse for a patient recovering from rheumatic fever. Which statement by the patient would indicate that the teaching has been effective?
1. "I will be sure to tell my dentist that I had rheumatic fever.".
2. "I will try to eat less protein and more fat, so I will have more energy.".
3. "I am already at risk for increased bleeding, so I will avoid taking aspirin for pain.".
4. "I know that if my joints start to hurt again, I need to slow down, but I won't have to worry since I'm immune to getting rheumatic fever again.".
1
Rationale 1: Antibiotic prophylaxis for invasive procedures such as dental care is important to prevent bacterial endocarditis in the patient recovering from rheumatic fever.
Rationale 2: Dietary teaching focuses on a high-carbohydrate, high-protein diet to facilitate healing and combat fatigue.
Rationale 3: Aspirin and NSAIDs are used to treat joint pain or fever. Rheumatic fever does not raise the risk of bleeding.
Rationale 4: Rheumatic fever is manifested by joint pain. Immunity is not conferred by having had an episode of rheumatic fever.
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