While 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
Response:
The nurse needs continue assessments according to institutional protocol. Every 15 minutes for the first hour and every 30 minutes through the remainder is the standard assessment. On a case-by-case basis is incorrect.
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