The nurse is reviewing the medical histories for a group of patients. Which patients should receive prophylactic antibiotics to prevent infective endocarditis (IE)? (Select all that apply.)
a. A 68-year-old with a history of atrial fibrillation scheduled for a root canal
b. A 55-year-old with a history of angina scheduled for arthroscopic knee surgery
c. A 76-year-old with a history of cardiac valve repair scheduled for a colonoscopy
d. A 71-year-old with a history of infective endocarditis scheduled for a tooth extraction
e. A 69-year-old with a history of congenital heart disease who is having an abscess drained
f. A 56-year-old with a history of mitral valve prolapse scheduled for routine dental cleaning
ANS: C, D, E
Antibiotic prophylaxis guidelines have been updated. Before a dental procedure, the American Heart Association (2014) now recommends that only individuals with an artificial heart valve or a valve repaired with artificial material, a history of endocarditis, a heart transplant with abnormal valve function, or specific congenital heart defects receive antibiotics. Prophylaxis for procedures on the genitourinary or gastrointestinal tract or for most people who have orthopedic implants is no longer recommended.
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How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer rounding to one decimal place.
The client who has just been diagnosed as HIV-positive asks if he poses a health hazard to his co-workers in the secretarial pool. What is the nurse's best response?
A. "The only time you could make someone else sick is when you have Pneumocystis pneumonia." B. "As long as you are taking your antiviral medications, you cannot transmit the virus to your co-workers." C. "Unless your blood or other body fluids comes into contact with your co-workers, you are not a health risk to them." D. "You should inform your co-workers of your HIV status so that they can take proper precautions to reduce their risk."
Which of the following is not one of the effective communication/interaction skills used when dealing with person with a mental illness?
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Which of the following statements describes a practice fundamental to the implementation of an interdisciplinary developmental care team?
a. care is delivered at regular timely intervals allowing adequate rest time b. infants are prepared for care with hand containment prior to care procedure c. minimize caloric expenditure by limiting movement of extremities with blanket rolls and other positioning aids.