When reviewing the history of a child with suspected primary ...

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When reviewing the history of a child with suspected primary immunodeficiency, which of the following would the nurse be least likely to find?
 
  A) Weight appropriate for height
  B) Antibiotic therapy for the past 3 months without effect
  C) 10 episodes of otitis media in the last year
  D) Three bouts of sinusitis within a year's time

Question 2

The nurse is 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, the nurse most likely would continue to assess the child at which frequency? A) Every 30 minutes
  B) Every 45 minutes
  C) Every 60 minutes
  D) Every 2 hours

[bfulkerson77]

Answer to Question 1

A
Feedback:
Weight appropriate for height would not be associated with primary immunodeficiency. Rather, failure to thrive is considered a warning sign. Other warning signs of primary immunodeficiency include eight or more episodes of acute otitis media in 1 year; two or more episodes of severe sinusitis in 1 year; treatment with antibiotics for 2 months or longer with little effect; two or more episodes of pneumonia in 1 year; recurrent deep skin or organ abscesses; persistent oral thrush or skin candidiasis after age 1 year; history of infections that do not clear with antibiotics; two or more serious infections; and a family history of primary immunodeficiency.

Answer to Question 2

C
Feedback:
The nurse needs to continue assessments according to institutional protocol. Every 15 minutes for the first hour and every 30 minutes through the remainder of the infusion is the standard assessment.

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Thank you

[bfulkerson77]

Happy to help you