The nurse is administering intravenous immune globulin (IVIG). The nurse assesses vital signs and for adverse reactions every 15 minutes for the first hour of administration. After the first hour, how should the nurse continue to assess the child?
A) Every 45 minutes through the remainder of the infusion
B) Every 30 minutes
C) Per institutional protocol
D) On a case-by-case basis
C
You might also like to view...
Which does the nurse use to select the proper site and equipment for a pulse oximeter sensor?
1. Earlobe for a client with parkinsonism 2. Clip-on probe for a client who has obesity 3. Disposable probe for client with latex allergy 4. Finger for client in postanesthesia recovery unit
A male client is being admitted to a hospital for treatment. Which factor would help the nurse determine whether the client needs an extended care facility instead of an acute care one?
A) Client's condition is very serious B) Client needs a high level of nursing care C) Client requires close and continuous monitoring D) Client requires admission for an extended period of time
A nurse employed by a state health agency has been notified that her position within the agency will be eliminated. Which of the following factors has most likely contributed to this?
a. A downturn in the economy and tax reform efforts mean fewer state tax dollars. b. Federal government funds given to states for health needs have been used for other purposes. c. The need to provide care is declining as new mandates from the federal level are felt by local communities. d. There is a decreased demand for public health services by the community.
A child is scheduled to undergo radiation therapy as part of his treatment plan for newly diagnosed cancer. After teaching the child and parents about this treatment, the nurse determines that additional teaching is needed when the parents state:
A) "We should not wash off the markings on his skin." B) "He can use petroleum jelly if the skin becomes reddened." C) "He needs to use a sunscreen with an SPF of 30 or more." D) "He should not apply deodorant to the treatment site."