Question

A 7-year-old client presents to the emergency room (ER) after experiencing an allergic reaction to a bee sting. The client is breathing and able to verbally communicate. The nurse notes the client's pulse 90 beats/minute, respirations are 23 breaths/minute, blood pressure is 100/60 mm Hg, lungs are clear. Which nursing action is priority?

O Administer epinephrine to the client.
O Assess the client's oxygen saturation level.
O Apply ice to the site of the sting.
O Ask if any medications were given before arriving to the ER.

Answer 1

The priority nursing action is to administer epinephrine to a child who experienced an allergic reaction to a bee sting, as it can rapidly counteract severe allergic reactions. The Correct Answer is Option .A.

Step-by-step explanation:

The priority nursing action for a 7-year-old client who presents to the emergency room after experiencing an allergic reaction to a bee sting is to administer epinephrine to the client. Despite the current stable vital signs, bee stings can cause severe allergic reactions, and symptoms can worsen rapidly.

Epinephrine counteracts the severe drop in blood pressure that can result from an immune response and is used to treat systemic anaphylaxis by constricting blood vessels, raising blood pressure, and relaxing bronchial smooth muscle to improve breathing.