The nurse is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift:
Intake:
4 oz of Pedialyte 1 /2 of an 8-oz cup of clear orange Jell-O
2 graham crackers
200 cc of D 51/2 sodium chloride IV Output:
345 cc of urine
50 cc of loose stool
How many milliliters should the nurse document as the client's intake? (Write
your answer below.)
What will be an ideal response?
Answer:3
Rationale:Hypersensitivity reaction can be seen with 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 not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.
Implementation
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