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Author Question: A child has been admitted for suspected bacterial endocarditis. What action takes priority? A. ... (Read 152 times)

mwit1967

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on: Jun 28, 2018
A child has been admitted for suspected bacterial endocarditis. What action takes priority?
 
  A.
  Administering antibiotics
  B.
  Education on valve replacement
  C.
  Giving an antipyretic
  D.
  Obtaining blood cultures

Question 2

The parents of a child born with severe hypoplastic left heart syndrome ask the nurse about treatment options. Which option is inconsistent with the nurse's knowledge about this condition?
 
  A.
  Palliative or end-of-life care is one possibility.
  B.
  She can be listed for a cardiac transplant.
  C.
  Surgical correction involves several procedures.
  D.
  We can give a series of dopamine (Intropin) infusions.


aburgess

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
The priority action is to obtain blood cultures, either drawn by the nurse or laboratory. Antibiotics are not started until these are collected. If the child is febrile, an antipyretic is appropriate, but it is not the priority. Education on valve replacement is not warranted until later in the course of the disease if it is needed.

Answer to Question 2

ANS: D
Although dopamine is a positive inotrope, serial infusions are not used for this condition. The other statements relay possible treatment decision points for this child.


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Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

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In 1864, the first barbiturate (barbituric acid) was synthesized.

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If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

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