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What is the priority action for a nurse when a patient shows signs of an allergic reaction?
Asked on May 09, 2026
Answer
When a patient shows signs of an allergic reaction, the nurse's priority is to ensure the patient's airway is open and to assess the severity of the reaction. This involves recognizing symptoms such as hives, swelling, difficulty breathing, or anaphylaxis, and responding promptly 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 indicated and per protocol.
- Step 3 – Monitor vital signs, document the reaction and interventions, and prepare for potential escalation of care.
Additional Comment:
- Always prioritize airway management in suspected allergic reactions.
- Use the ABCs framework to guide assessment and intervention.
- Recognize that anaphylaxis is a medical emergency requiring immediate action.
- Communicate with the healthcare team and document all findings and actions taken.
- Be aware of the patient's allergy history and any known triggers.
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