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