- To take the test online, go to our secure Web site at http://www.nursingcenter.com/HHN.
- On the print form, record your answers in the test answer section of the CE enrollment form on page 113. Each question has only one correct answer. You may make copies of these forms.
- Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
- You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
- Registration deadline is February 28, 2011.
DISCOUNTS AND CUSTOMER SERVICE
- Send two or more tests in any nursing journal published by Lippincott, Williams & Wilkins together and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 2.5 contact hours for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. LWW home study activities are classified for Texas nursing continuing education requirements as Type I.
Your certificate is valid in all states.
CE TEST QUESTIONS
To provide registered professional nurses with the latest information about the indications for the administration of immunoglobulin, the various immunoglobulin products available, potential adverse reactions, routes of administration, and related nursing implications.
After reading this article and taking this test, you should be able to:
- Describe the indications and the administration guidelines and precautions for intravenous immunoglobulin.
- Outline the adverse effects of intravenous immunoglobulin.
1. Which of the following is an example of a secondary immunodeficiency state?
b. chronic lymphocytic leukemia
c. immunoglobulin subclass deficiency
d. common variable immune deficiency
2. What percentage of intravenous immunoglobulin (IVIG) infusions is given in the home care setting?
3. The highest concentration of IVIG currently available is
4. IVIG products containing sucrose have been associated with
b. pulmonary insufficiency.
d. acute renal failure.
5. Reactions to IgA are extremely rare but notably include
d. joint pain.
6. Compared with lyophilized products, liquid IVIG products have the advantage of
a. variable osmolality.
b. flexibility in concentration.
c. long-term room temperature storage.
d. little to no preparation time.
7. Refrigerated IVIG products that are not allowed to come to room temperature before administration have been known to cause
8. For primary and secondary immunodeficient patients, the usual dose of IVIG is
a. 0.1 to 0.3 grams/kg per month.
b. 0.3 to 0.6 grams/kg per month.
c. 0.6 to 0.8 grams/kg per month.
d. 0.8 to 1.1 grams/kg per month.
9. How long does an IVIG typical infusion take?
a. 15 to 30 minutes
b. 30 minutes to 1 hour
c. 1 to 2 hours
d. 2 to 4 hours
10. Most adverse reactions to IVIG
a. are severe.
b. continue even with a slower infusion rate.
c. are self-limiting and transient.
d. occur within the first 10 to 15 minutes.
11. Adverse reactions to IVIG are more likely
a. during the first administration.
b. in patients taking NSAIDs.
c. after long-term IVIG therapy.
d. in patients taking corticosteroids.
12. Which of the following is recommended when administering IVIG to patients who have diabetes mellitus?
a. volume repletion
b. rapid infusion
c. diuretic therapy
d. higher IVIG concentration
13. It is believed that some patients who receive IVIG are specifically at risk for thromboembolic events because IVIG can increase
c. blood pressure.
d. capillary reflow.
14. Patients with a history of migraines who receive higher dosages of IVIG administered over a shorter duration of infusion are at risk for developing
a. cardiac dysrhythmias.
b. pulmonary edema.
c. acute pancreatitis.
d. aseptic meningitis.
15. Generally, the maximum volume for subcutaneous administration of immunoglobulin per site is
a. 10 to 20 mL.
b. 20 to 30 mL.
c. 30 to 40 mL.
d. 40 to 50 mL.
16. The most common as well as the most patient-preferred site for subcutaneous administration of immunoglobulin is the
b. upper arm.
17. All of these statements about subcutaneous immunoglobulin (SCIG) are correctexcept
a. its use is limited to children.
b. it is well tolerated and clinically efficacious.
c. this route is preferred by patients who treat themselves at home on their own schedule.
d. there is limited experience with using SCIG for indications other than primary immune deficiency.
18. Use of IVIG is not FDA-approved for which condition?
a. Kawasaki disease
b. B-cell chronic lymphocytic leukemia
c. bone marrow transplantation
d. stiff man syndrome