Home care teaching is being completed by the nurse for a patient recovering from rheumatic fever. Which patient statement indicates 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 focus on eating less protein and more fat so I will have more energy."
3. "I will avoid brushing my teeth so often and quit using mouth rinse because I have gingivitis."
4. "If my joints start to hurt again, I need to slow down, but I won't have to worry because I'm immune to rheumatic fever now."
Correct Answer: 1
Antibiotic prophylaxis for invasive procedures such as dental care is important to prevent bacterial endocarditis in the patient recovering from rheumatic fever. Dietary teaching focuses on a high-carbohydrate, high-protein diet to facilitate healing and combat fatigue. Maintaining good oral hygiene and preventive dental care are important to preventing gingival infections, which can lead to recurrence of the disease. Rheumatic fever is manifested by joint pain. One episode of rheumatic fever does not confer immunity to future episodes.
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