The nurse is teaching the parents of a child who had a surgical correction of a congenital heart defect about subacute bacterial endocarditis (SBE).Which recommendation regarding antibiotic administration prior to dental cleanings is the most appropriate?

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In 2007 the American Heart Association made major changes to the guidelines for prophylaxis needed for patients who have known cardiac disease.The provider needs to weigh the risk-to-benefit ratio,as prophylaxis will only prevent a few cases of SBE and the risk of antibiotic resistance is high.When used,SBE prophylaxis is usually a one-time dose.The actual risk of SBE from dental procedures is less than that from toothbrushing.

The Nurse Is Teaching the Parents of a Child Who