The nurse is preparing to administer the first dose of intravenous immunoglobulin (IVIG) to a 50-year-old female adult client admitted to the hospital with Guillain-Barre syndrome. Which nursing intervention is appropriate regarding administration?

administer IVIG transfusion at a constant rate monitor vital signs within 15 minutes prior to administration and within 30 minutes after starting the infusion administer IVIG at room temperature should chills occur during the infusion, continue the infusion and provide the client with a blanket

The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?

place the client in soft wrist restraints have security sit outside the client’s door assign a sitter despite the client’s refusal allow the client to leave against medical advice (AMA) tell the client that a friend can come sit with him instead

The nurse has just administered an IM injection to a client. In which of the following ways should the nurse dispose of the needle?

re-cap the needle and discard it in the nearest puncture-resistant container break the needle and discard it in the nearest puncture-resistant container discard the needle in a puncture-resistant container in the central medication area discard the needle in a puncture-resistant container in the client’s room

A nurse on the orthopedics floor is asked by another nurse to witness her waste 1 mg of morphine. The nurse draws the full 2 mg dose of morphine into the syringe and tells the first nurse, “This client does not get enough pain relief with 1 mg of morphine, so I just go ahead and give 2 mg to keep him comfortable because the doctor won’t change the dose.” Which is the correct action by the first nurse?

tell the other nurse to call the doctor back and request an increase in the dosage refuse to sign off on the waste and report the incident to the charge nurse or unit manager sign off the waste, and suggest that the nurse give it over two separate doses 30 minutes apart sign off the…

The nurse is admitting a new client to the medical unit. When asked about advance directives, the client says, “I’m not really sure what that is, but I trust my doctor to do whatever he thinks I need.” Which is the correct action by the nurse?

tell the client not to worry about it, because the client can always add the advance directives later tell the client that she can pay her lawyer to draw one up and have a copy sent to the hospital explain what advance directives are and how they benefit the client, and offer to give the…