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What is the priority action for a nurse when a patient shows signs of an allergic reaction?
Asked on Jan 30, 2026
Answer
When a patient exhibits signs of an allergic reaction, the nurse's priority is to ensure the patient's airway is clear and maintain adequate breathing and circulation. This involves quickly assessing the severity of the reaction and intervening appropriately to prevent further complications.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) immediately.
- Step 2 – Administer emergency medications such as epinephrine if prescribed and initiate oxygen therapy as needed.
- Step 3 – Monitor the patient's vital signs, document the reaction and interventions, and notify the healthcare provider promptly.
Additional Comment:
- Always prioritize airway management in allergic reactions, as airway compromise can occur rapidly.
- Look for signs of anaphylaxis, such as difficulty breathing, swelling, and hives, which require immediate intervention.
- Ensure emergency equipment and medications, like epinephrine, are readily available in case of severe reactions.
- Document all findings, interventions, and patient responses accurately for continuity of care.
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