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What is the priority action when a patient shows signs of an allergic reaction?
Asked on Feb 16, 2026
Answer
When a patient shows signs of an allergic reaction, the priority action is to assess the airway, breathing, and circulation (ABCs) to ensure the patient is not experiencing a life-threatening reaction such as anaphylaxis. Immediate intervention may be required to maintain airway patency and support breathing.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation for any signs of distress or compromise.
- Step 2 – Administer epinephrine if anaphylaxis is suspected and per protocol, and ensure emergency support is activated.
- Step 3 – Monitor vital signs, document the reaction and interventions, and communicate with the healthcare team.
Additional Comment:
- Always prioritize the ABCs in emergency situations.
- Look for signs like hives, swelling, difficulty breathing, and hypotension.
- Ensure the patient has a clear airway and administer oxygen if needed.
- Be prepared to provide CPR if the patient's condition deteriorates.
- Document the time of onset, symptoms, and any interventions provided.
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