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Chapter 34: Problem 635

The physician has ordered IVIG (intravenous immunoglobulins) to be administered to a client on a monthly basis. Prior to starting this therapy, the nurse would make certain that the client: A. is aware of the importance of being NPO the morning of the infusion. B. has signed an informed consent for a blood product. C. understands that once started, the therapy cannot be stopped. D. recognizes that he or she will be contagious for 2 days after receiving the IVIG product.

Short Answer

Expert verified
B. has signed an informed consent for a blood product.

Step by step solution

01

Understanding the Options

Read through the provided options to ensure understanding of each one. The options are related to different precautions or actions a client must take before starting IVIG therapy.
02

Evaluating Each Option

A: Consider whether being NPO (nothing by mouth) is typically required before IVIG therapy. B: Think about the necessity of informed consent for treatment with blood products. C: Assess whether therapy can or cannot be stopped once started. D: Determine if there is any contagious risk associated with IVIG therapy.
03

Applying Medical Knowledge

Understand that IVIG is a blood product; hence, informed consent is generally required before administration. This is essential to ensure the patient is aware of any risks or implications of receiving blood products.
04

Drawing a Conclusion

Having evaluated the options based on medical procedures and common practices, conclude that the correct answer is the one that ensures the patient has signed an informed consent for a blood product.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

intravenous immunoglobulins (IVIG)
Intravenous immunoglobulins (IVIG) are blood products used to treat various immunodeficiency disorders. They are prepared from immunoglobulins (antibodies) extracted from the plasma of thousands of donors. This therapy helps to provide passive immunity and can support the immune system in fighting infections. Before administering IVIG, it is crucial to explain the purpose and potential benefits to the patient. The nurse should monitor for common side effects such as headaches, chills, and fever, and be prepared to address any adverse reactions that might occur during or after the infusion.
informed consent
Informed consent is a fundamental principle in healthcare, ensuring that patients are fully aware of what a medical procedure entails. Before giving IVIG, it is mandatory for the patient to sign an informed consent form. This document should include details about the nature of the product, potential risks, benefits, and any alternatives available.
  • Inform the patient in a language they understand.
  • Ensure they have had the opportunity to ask questions.
  • Confirm their comprehension before proceeding.
This step protects the patient's autonomy and supports shared decision-making between the patient and healthcare provider.
nursing procedures
Nursing procedures for administering IVIG involve several key steps to ensure patient safety and effective treatment.
  • Verify the doctor's order and review the patient's medical history for allergies to blood products.
  • Prepare the infusion equipment and IVIG according to the manufacturer's instructions.
  • Monitor vital signs before, during, and after the infusion.
Pay close attention to any signs of adverse reactions and be prepared to intervene if necessary. Proper documentation of the entire procedure, including the patient's response, is also essential.
patient education
Patient education is crucial for those undergoing IVIG therapy. The nurse should provide comprehensive information on what IVIG is and why it has been prescribed. This includes:
  • Description of the infusion process.
  • Possible side effects to watch out for and when to seek medical help.
  • Steps to take before and after the procedure to ensure safety.
Educated patients are more likely to comply with the treatment plan and report any concerns promptly, leading to better health outcomes.
medical ethics
Medical ethics play a critical role in the administration of IVIG. These principles guide healthcare providers in delivering care that is respectful, beneficial, and just. Key ethical considerations include:
  • Respect for autonomy: Ensure the patient is informed and consents voluntarily.
  • Beneficence: Act in the best interest of the patient by monitoring treatment closely.
  • Non-maleficence: Minimize the risk of harm by following proper protocols.
  • Justice: Provide fair and equitable treatment to all patients receiving IVIG.
Adhering to these ethical principles helps build trust and ensures the integrity of the healthcare system.

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Most popular questions from this chapter

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