A nurse is caring for an adolescent in an emergency department. Exhibits The nurse reports the 2400 assessment findings to the provider. Which of the following should the nurse anticipate the provider will prescribe? For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Restrict dental hygiene: Contraindicated. Proper dental hygiene should continue; poor oral care increases the risk of infections, especially in clients with cardiac valve damage. Obtain blood cultures x 3: Anticipated. The adolescent shows signs of possible infective endocarditis (fever, petechiae, history of valve damage), so multiple blood cultures are needed before starting antibiotics. Obtain an echocardiogram: Anticipated. Used to evaluate for vegetations or structural complications from suspected infective endocarditis. Perform strenuous exercise regimen twice daily: Contraindicated. The client is experiencing dyspnea at rest and chest pain; strenuous activity could worsen cardiac strain. Administer antibiotic therapy: Anticipated. Empiric antibiotic therapy is indicated for suspected infective endocarditis after blood cultures are obtained.