A nurse is discharging a client who has been hospitalized with streptococcal infective endocarditis (IE). Which statement by the client would indicate a need for further teaching?

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Clients with IE usually have fever for several days during the initial stages of antibiotic therapy. By the time they are discharged, fever subsides or becomes occasional and low-grade. The nurse should teach the client to monitor temperature regularly at home. Persistent temperature elevations may mean that the antibiotic therapy is ineffective or complicationshave developed. The client should notify the HCP if a fever persists at home. (Option A) A client who has had IE is at risk for reoccurrence. This client should receive prophylactic antibiotics for certain high-risk procedures (eg, manipulation of gingival tissue). (Option B) IE causes the formation of vegetations on valve and endocardial surfaces. Embolization to various organ sites can occur. Slurred speech could indicate that embolization has caused a possible stroke. (Option D) IE can require IV antibiotics for up to 4-6 weeks. The client may be discharged home once hemodynamically stable, and a home health nurse will come to administer the antibiotics through the client's PICC line. Educational objective: The nurse should teach the client with IE to expect to receive IV antibiotics for several weeks after returning home and to report a persistent fever; any signs of embolization such as slurred speech, one-sided weakness, or paralysis; or a painful, cold extremity. Prophylactic antibiotics will be required for certain high-risk procedures.

A Nurse Is Discharging a Client Who Has Been Hospitalized