Patho Patho #92
When providing client teaching for a client susceptible to the development of infective endocarditis, the nurse should include information on the use of:
- 1, prophylactic antibiotic therapy.
This answer is correct because clients with infective endocarditis need to be educated on the need for prophylactic antibiotics prior to invasive dental procedures.
- 2. prophylactic immunosuppressive therapy.
This answer is not correct because clients with infective endocarditis do not require immunosuppression but rather antibiotics prior to certain invasive dental procedures.
- 3. diuretics for weight gain.
This answer choice is not correct because clients with infective endocarditis do not require education about diuretics. Clients with congestive heart failure will need diuresis if weight gain occurs due to fluid build up.
- 4. face masks with ill family members.
This answer choice is not correct because infective endocarditis does not require the client nor family members to wear face masks. Universal precautions are all that is required for this diagnosis.
The focus of this question is asking the nurse to provide the most effective teaching for a client with infective endocarditis. Current recommendations are for clients with infective endocarditis to receive prophylactic antibiotics prior to invasive dental procedures. Certain clients with infective endocarditis are at high risk for bacteremia when undergoing invasive dental procedures
Risk factors for developing infective endocarditis include cardiac valve disease, congenital heart disease, history of intravenous drug use, and previous infective endocarditis. Current recommendations for use of prophylactic antibiotics for clients with heart disease are for these clients to receive amoxicillin prior to invasive dental procedures. Dental procedures that involve manipulation of the gingival tissue or the periapical region carry the highest risk for causing bacteremia in these clients.
Test Taking Tip
Prophylactic antibiotic therapy is indicated for clients with ACTIVE infective endocarditis who are undergoing INVASIVE dental procedures. Guidelines no longer recommend the use of prophylactic antibiotics for inactive infective endocarditis or those undergoing non-invasive procedures.