A school nurse observes a child, with a peanut allergy, in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts
Place the interventions the nurse should implement in order of the highest priority to the lowest priority. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).
a. Call Jason's parents and notify them of the situation.
b. Call Jason's family practitioner to obtain further orders for medication.
c. Promptly administer an intramuscular dose of epinephrine.
d. Call 911 and wait for the emergency response personnel to arrive.
ANS:
c, d, b, a
The nurse should first administer epinephrine IM to a child with a food allergy who is in obvious distress, wheezing, and cyanotic. 911 should be called after the epinephrine is administered. The physician should be contacted for further orders and, last, the parents notified of the situation.
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