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What is the nurse's priority action when a patient shows signs of an allergic reaction?
Asked on Feb 10, 2026
Answer
When a patient shows signs of an allergic reaction, the nurse's priority is to assess the patient's airway, breathing, and circulation (ABCs) to ensure they are stable. Immediate intervention may be required to prevent progression to a severe reaction such as anaphylaxis.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) for any signs of compromise.
- Step 2 – Administer emergency medications such as epinephrine if prescribed and prepare for potential escalation of care.
- Step 3 – Monitor vital signs closely, document the reaction and interventions, and communicate with the healthcare team.
Additional Comment:
- Recognize signs of an allergic reaction, including hives, swelling, difficulty breathing, and hypotension.
- Safety-first: Ensure emergency equipment and medications are readily available.
- Follow facility protocols for allergic reactions and anaphylaxis management.
- Educate the patient and family about recognizing and responding to allergic reactions in the future.
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