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What is the priority nursing action for a patient showing signs of an allergic reaction? Pending Review
Asked on Mar 18, 2026
Answer
In nursing practice, recognizing and responding to an allergic reaction is crucial for patient safety. The priority nursing action is to assess the patient's airway, breathing, and circulation (ABCs) to determine the severity of the reaction and intervene accordingly.
Example Nursing Steps:
- Step 1 – Assess the patient's airway for any obstruction or difficulty breathing, and check for signs of anaphylaxis such as swelling, hives, or hypotension.
- Step 2 – Administer emergency medications such as epinephrine if prescribed, and ensure the patient has access to supplemental oxygen if needed.
- Step 3 – Monitor vital signs closely, document the reaction and interventions, and prepare to escalate care by notifying the healthcare provider or activating emergency response if the patient's condition worsens.
Additional Comment:
- Always prioritize airway management in suspected anaphylaxis.
- Use the ABCs framework to guide initial assessment and intervention.
- Be prepared to provide rapid interventions and communicate effectively with the healthcare team.
- Document all findings, interventions, and patient responses promptly and accurately.
- Educate the patient and family about potential allergens and emergency response plans.
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