Author Question: Which admission order written by the health care provider for a patient admitted with infective ... (Read 33 times)

tsand2 · **on:** Jun 25, 2018

Which admission order written by the health care provider for a patient admitted with infective endocarditis (IE) and a fever would be a priority for the nurse to implement?

a. Administer ceftriaxone (Rocephin) 1 g IV.
b. Order blood cultures drawn from two sites.
c. Give acetaminophen (Tylenol) PRN for fever.
d. Arrange for a transesophageal echocardiogram.

Question 2

The nurse will plan discharge teaching about the need for prophylactic antibiotics when having dental procedures for which patient?

a. Patient admitted with a large acute myocardial infarction.
b. Patient being discharged after an exacerbation of heart failure.
c. Patient who had a mitral valve replacement with a mechanical valve.
d. Patient being treated for rheumatic fever after a streptococcal infection.

amit · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Treatment of the IE with antibiotics should be started as quickly as possible, but it is essential to obtain blood cultures before initiating antibiotic therapy to obtain accurate sensitivity results. The echocardiogram and acetaminophen administration also should be implemented rapidly, but the blood cultures (and then administration of the antibiotic) have the highest priority.

Answer to Question 2

ANS: C
Current American Heart Association guidelines recommend the use of prophylactic antibiotics before dental procedures for patients with prosthetic valves to prevent infective endocarditis (IE). The other patients are not at risk for IE.