Cardiac Question #47


The nurse is providing education to a client with a history rheumatic heart. Information includes risk factors for bacterial endocarditis. The nurse asks through teach-back if the client knows the importance of taking which of the following drugs prior to scheduled invasive procedures?


  1. Amoxicillin (Amoxil)
    • Rationale:
  2. Solumedrol
    • Rationale:
  3. Warfarin (Coumadin)
    • Rationale:
  4. Metoprolol (Lopressor)
    • Rationale:



Client education in prevention of bacterial endocarditis in clients with history of rheumatic heart disease includes teaching about taking prophalaxis antibiotics to prevent vegetation and spread of bacteria from one area of the body to the heart. Dental procedures and other invasive treatments may require use of antibiotics. Most common antibiotics are amoxicillin, ampicillin, cephalexin (if allergic to PCN or ampicillin), clinamycin, or azithromycin.

Learning Outcomes

Test Taking Tip

Video Rationale