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What is the priority assessment for a patient with a suspected allergic reaction?
Asked on Mar 02, 2026
Answer
In a patient with a suspected allergic reaction, the priority assessment is to evaluate the airway, breathing, and circulation (ABCs) to identify any signs of anaphylaxis or respiratory distress. This involves checking for airway patency, respiratory rate and effort, and any signs of hemodynamic instability.
Example Nursing Steps:
- Step 1 – Assess the airway for patency and listen for stridor or wheezing.
- Step 2 – Evaluate breathing by observing respiratory rate, effort, and oxygen saturation.
- Step 3 – Monitor circulation by checking vital signs, skin color, and capillary refill time.
Additional Comment:
- Immediate intervention may be required if signs of anaphylaxis are present, such as administering epinephrine.
- Consider the patient's history of allergies and any known triggers.
- Document findings and interventions promptly and communicate with the healthcare team.
- Prioritize safety-first and ABCs in emergency situations.
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