Question

A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent airway, which of the following nursing interventions is the priority?

a) Administering epinephrine.
b) Assessing vital signs.
c) Applying ice to the affected area.
d) Documenting the incident.

Answer 1

The priority nursing intervention for a client experiencing anaphylactic reaction is to administer epinephrine.

Step-by-step explanation:

The priority nursing intervention for a client experiencing an anaphylactic reaction is to administer epinephrine. Epinephrine helps to control the immune reaction by constricting blood vessels to increase blood pressure, relaxing smooth muscles in the lungs to improve breathing, modulating heart rate, and reducing swelling that may block the airways. By administering epinephrine, the nurse can counteract the life-threatening symptoms of anaphylaxis and provide immediate relief to the client.