The nurse is caring for a patient with rheumatic heart disease. To prevent bacterial endocarditis, the nurse would expect which of the following medications to be prescribed prior to any type of dental work
A) Enoxaparin (Lovenox)
B) Metoprolol (Lopressor)
C) Azathioprine (Imuran)
D) Amoxicillin (Amoxil)
Ans: D
Feedback: Although rare, bacterial endocarditis may be life-threatening. A key strategy is primary prevention in high-risk patients (ie, those with rheumatic heart disease, mitral valve prolapse, or prosthetic heart valves). Antibiotic prophylaxis is recommended for high-risk patients immediately before and sometimes after certain procedures.
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