A nurse has begun an infusion of intravenous immunoglobulin ...

[RRMR]

A nurse has begun an infusion of intravenous immunoglobulin (IVIG) to a child who has combined immunodeficiency disease. The infusion should be stopped if the child:
 
  1. Experiences a mild headache.
  2. Voids clear yellow urine.
  3. Develops severe shaking, chills, and fever.
  4. Complains of being thirsty.

Question 2

The most common cause of death in the adolescent age-group involves
 
  a. Drownings
  b. Firearms
  c. Drug overdoses
  d. Motor vehicles

[lauravaras]

Answer to Question 1

3
Rationale:
1. A mild headache is an adverse side effect of IVIG but not a severe reaction.
2. Voiding clear yellow urine is a normal finding.
3. 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.
4. Thirst is not an indication of a reaction.

Answer to Question 2

D
Feedback
A Drownings are major concerns in adolescence but do not cause the majority of
deaths.
B Firearms are major concerns in adolescence but do not cause the majority of
deaths.
C Drug overdoses are major concerns in adolescence but do not cause the majority
of deaths.
D Risk taking behaviors play a major role in the high incidence of motor vehicle
injuries and death among teenagers i.e. alcohol use, failure to wear a seatbelt,
and inexperience.

[RRMR]

TYSM

[Sarahjh]

Excellent