The primary nursing intervention necessary to prevent bacterial endocarditis is to:
a. Institute measures to prevent dental procedures.
b. Counsel parents of high risk children about prophylactic antibiotics.
c. Observe children for complications such as embolism and heart failure.
d. Encourage restricted mobility in susceptible children.
ANS: B
The objective of nursing care is to counsel the parents of high risk children about both the need for prophylactic antibiotics for dental procedures and the necessity of maintaining excellent oral health. The child's dentist should be aware of the child's cardiac condition. Dental procedures should be done to maintain a high level of oral health. Prophylactic antibiotics are necessary. Observing for complications and encouraging restricted mobility in susceptible children should be done, but maintaining good oral health and using prophylactic antibiotics are most important.
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