A patient is prescribed to receive lymphocyte immune globulin (Atgam) to prevent an immediate transplant reaction. What actions should the nurse take when administering this medication?

Question

Select all that apply.

1. Measure hourly urine output
2. Keep epinephrine at the bedside
3. Premedicate with acetaminophen
4. Plan to infuse the medication over 2 hours
5. Measure vital signs every hour during the infusion

Answer 1

Correct Answer: 2, 3, 5

Because of the risk for anaphylactic reactions, epinephrine should be kept at the bedside. Acetaminophen is used to premedicate the patient prior to receiving this medication. Vital signs are to be measured every hour while the medication is infusing. The nurse should monitor for serum sickness by analyzing renal function studies. Hourly urine output measurements are not necessary. The medication is to be infused through a central line over 4 to 6 hours.