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Question 10

A client having an intradermal allergen test suddenly presents with dyspnea and dizziness. What should the nurse do first?

A. Initiate IV line for stat medications.
B. Start oxygen therapy.
C. Administer epinephrine IM.
D. Nebulize with albuterol.


Sagot :

Final answer:

In cases of severe allergic reactions, the nurse should prioritize administering epinephrine IM to counteract the reaction swiftly, followed by starting oxygen therapy to support respiratory function. Initiating IV line for stat medications is necessary but secondary to administering epinephrine IM.


Explanation:

In the scenario described, when a client undergoing intradermal allergen testing experiences sudden dyspnea and dizziness, the nurse should prioritize administering epinephrine IM as it is the primary treatment for anaphylaxis to counteract the severe allergic reaction promptly.

Oxygen therapy should also be started simultaneously to support respiratory function and alleviate symptoms while awaiting the effects of epinephrine.

Initiating an IV line for stat medications, like epinephrine, would be necessary but administering the epinephrine IM should be the initial step due to the urgency of the situation.


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