Author Question: While administering intravenous immune globulin (IVIG), the nurse assesses vital signs and for ... (Read 122 times)

Sportsfan2111 · **on:** Jun 27, 2018

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

Question 2

The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which response by the nurse would be most appropriate?

A) The most common side effect is injection site soreness.
B) This is a recombinant or genetically engineered vaccine.
C) Immunizations are needed to protect the general population.
D) This protects your child from infection that can cause liver disease.

karlss · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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.

Answer to Question 2

D
Response:
Up to 90 of neonates infected with hepatitis B develop chronic carrier status and will be predisposed to cirrhosis and hepatic cancer. The mother is not questioning side effects, safety, or disease prevention in general. Therefore, it is best to speak to her concerns.