The 15-year-old patient attempted suicide by ingesting an entire bottle of her father’s metoprolol. She is found unresponsive by emergency medical services and is intubated due to an inability to manage her own airway. Upon arrival to the emergency department, her blood pressure is 49/32 mmHg, heart rate is 24 bpm, and the pulse oximeter reads 82%. An 18-gauge peripheral IV is placed in the left antecubital vein and a 22-gauge IV is placed in the right antecubital vein. Which interventions are included in care? Select all that apply.  

The nurse administers intravenous immunoglobulin (IVIG) to a patient with Kawasaki disease. The nurse assesses the patient continuously for which life-threatening complication of IVIG?

The nurse begins an intravenous infusion of ampicillin. Ten minutes later, the patient states she has itching and swollen lips. What is the nurse’s first action?