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What is the priority action for a nurse when a patient shows signs of an allergic reaction?
Asked on May 05, 2026
Answer
When a patient shows 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.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) to determine the severity of the reaction.
- Step 2 – Administer prescribed emergency medications such as epinephrine if indicated and call for emergency assistance.
- Step 3 – Monitor vital signs, document the reaction and interventions, and communicate with the healthcare team for further management.
Additional Comment:
- Always prioritize airway assessment and intervention in suspected allergic reactions.
- Use the ABCs framework to guide initial assessment and intervention.
- Be prepared to escalate care quickly if the patient shows signs of anaphylaxis, such as difficulty breathing or hypotension.
- Document all findings, interventions, and patient responses accurately and promptly.
- Educate the patient and family about avoiding known allergens and recognizing early signs of allergic reactions.
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