A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has combined immunodeficiency disease. In which of the following situations should this infusion be stopped?
1. The child experiences a mild headache.
2. The child voids clear yellow urine.
3. The child develops severe shaking, chills, and fever.
4. The child complains of being "thirsty."
3
Rationale:
1. A mild headache is an adverse side effect of IVIG, but a severe reaction is not.
2. Voiding clear, yellow urine is a normal finding.
3. Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction.
4. Thirst is not an indication of a reaction.
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