The nurse is preparing to administer IVIG to a patient who has an immunodeficiency. What nursing guideline should the nurse apply?
A) Do not exceed an infusion rate of 300 mL/hr.
B) Slow the infusion rate if the patient exhibits signs of a transfusion reaction.
C) Weigh the patient immediately after the infusion is complete.
D) Administer pretreatment medications as ordered 30 minutes prior to infusion.
Ans: D
Feedback:
The nurse should administer pretreatment acetaminophen and diphenhydramine as prescribed 30 minutes before the start of the infusion. The patient should be weighed prior to the treatment and the IV infusion rate should not exceed 200 mL/hour. The nurse should stop the transfusion in the event of any signs of a reaction.
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