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What is the priority action for a nurse when a patient shows signs of an allergic reaction?
Asked on Mar 07, 2026
Answer
When a patient exhibits signs of an allergic reaction, the nurse's priority is to ensure the patient's airway is open and assess for any signs of respiratory distress, as this can quickly become a life-threatening situation. Immediate intervention is crucial to prevent progression to 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 initiate oxygen therapy as needed.
- Step 3 – Monitor vital signs closely, document the reaction and interventions, and notify the healthcare provider immediately.
Additional Comment:
- Always prioritize airway management and breathing in any suspected allergic reaction.
- Be prepared to use emergency equipment such as an epinephrine auto-injector.
- Observe for additional symptoms like hives, swelling, or hypotension, which may indicate worsening condition.
- Document the patient's response to interventions and communicate effectively with the healthcare team.
- Consider safety-first and ABCs as guiding principles in emergencies.
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