A patient is experiencing an anaphylactic reaction. Which action by the nurse takes priority?
A.
Determine what the patient is allergic to.
B.
Listen to the patient's lung sounds.
C.
Maintain the patient's airway.
D.
Provide oxygen at 4 L nasal cannula.
ANS: C
Anaphylaxis is a medical emergency. Airway comes first. The patient may need oxygen, but if the airway is not patent, the oxygen will not help. Listening to the lungs and determining the allergen come later.
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