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    Ati nurs 4355 paediatrics proctored exam

    A nurse is providing education regarding dental visits to the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?

    Explanation & Rationale

    A. "My child only needs to take antibiotics for dental visits if they actively have infectious endocarditis at the time of the visit.": Prophylactic antibiotics are not based on the presence of active infection. Children with a history of infective endocarditis are at ongoing risk due to transient bacteremia from dental procedures. B. "My child should take prophylactic antibiotics before dental visits or invasive oral procedures.": Current guidelines recommend antibiotic prophylaxis prior to dental procedures that manipulate gingival tissue or perforate oral mucosa in clients with a history of infective endocarditis. This reduces the risk of bacteremia leading to recurrence. C. “My child should take antibiotics only after the dental visit.": Antibiotics given after the procedure do not effectively prevent bacteremia that occurs during dental manipulation. Prophylaxis is most effective when administered before the procedure. D. "My child only needs to take prophylactic antibiotics if they had infectious endocarditis within the 6 months preceding a dental visit.": A history of infective endocarditis is considered a lifelong indication for prophylaxis for certain dental procedures, not one limited by time since the last infection.

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