Review the IVIG infusion trend and determine the priority interpretation and response.
Trend
Choose your responses, then check the answer.
Explanation
New oliguria, creatinine rise, calf pain, and oxygen decline in a high-risk client require stopping the infusion and urgent evaluation for renal and thrombotic complications.
Quick answer The trend suggests possible renal dysfunction and thrombosis; stop the infusion and escalate.
Why this is correct IVIG labels warn of thrombosis and renal failure, especially in predisposed clients. Adequate hydration and the minimum practicable infusion rate are protective, but new renal and thrombotic findings require immediate action.
Easy analogy or mental picture When kidney and clot warning lights turn on together, do not keep increasing the pump.
Memory hook IVIG risk: hydrate, go slow, watch kidney and clot signs.
NCLEX decision rule A tolerated first interval does not guarantee later safety. Respond to the direction of the trend, not only the starting values.
Why the other choices are wrong Continuing or accelerating the infusion ignores evolving end-organ findings; routine observation alone is insufficient.
References
1DailyMed: ASCENIVIVIG thrombosis and renal-risk precautions