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What is the priority action for a nurse when a patient shows signs of an allergic reaction?
Asked on Jan 31, 2026
Answer
When a patient exhibits signs of an allergic reaction, the nurse's priority is to assess the severity of the reaction and ensure the patient's airway is clear. Immediate intervention is crucial to prevent progression to anaphylaxis, a life-threatening condition.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) to determine the severity of the allergic reaction.
- Step 2 – Administer emergency medications such as epinephrine if prescribed and indicated, and apply oxygen if needed.
- Step 3 – Monitor the patient's vital signs, document the reaction and interventions, and notify the healthcare provider immediately.
Additional Comment:
- Always prioritize airway management in cases of suspected anaphylaxis.
- Be prepared to initiate CPR if the patient becomes unresponsive.
- Document the patient's response to interventions and any changes in condition.
- Educate the patient and family about recognizing early signs of allergic reactions for future prevention.
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