Final answer:
The incorrect client statement is about not being concerned with a continuing fever at home, indicating a lack of understanding about the seriousness of potential recurrent infective endocarditis symptoms. Proper post-discharge care includes awareness of symptoms, prophylactic antibiotics for certain activities, and continuing treatment, such as intravenous antibiotics administered by home health care.
Step-by-step explanation:
The statement by the client that indicates a need for further teaching is: "I shouldn't be concerned if I continue to have a fever at home." This client is being discharged with a history of streptococcal infective endocarditis (IE), and it is important for them to understand that a fever could be a sign of a persistent or recurrent infection. Continuing fever at home is a concern and should prompt immediate medical attention. The other statements indicate an understanding of post-discharge care needs, such as the need for prophylactic antibiotics before dental work, contacting their health care provider (HCP) or 911 for new symptoms like slurred speech, and receiving intravenous antibiotics through home health care.
Based on the scenarios and information given:
- Bacterial endocarditis caused by nicking the gum during oral surgery and allowing Streptococcus into the blood is an example of an iatrogenic disease.
- The American Heart Association recommends prophylactic antibiotic therapy for certain individuals at risk for recurrent infections like infective endocarditis.
- Effective treatment of infections, including those acquired in a healthcare setting, like with the catheter insertion, requires proper use of antibiotics and sometimes requires multiple approaches, like switching from intravenous to oral antibiotics if initial treatment fails.