A 7-Year-Old Child Who Has a History of a Repaired

A 7-year-old child who has a history of a repaired congenital heart defect (CHD) has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F. What will the primary care pediatric nurse practitioner do next?

A) Admit to the hospital with a pediatric cardiology consult.
B) Obtain blood cultures and a CBC and consult a pediatric cardiologist.
C) Refer the child to a pediatric dental surgeon immediately.
D) Start prophylactic antibiotics such as penicillin twice daily for 2 weeks.