A nurse is reviewing the medication list of a client who is scheduled for surgery. The client reports that they are allergic to latex, iodine, and aspirin. Which of the following medications should the nurse alert the provider about?

Explanation: When a client experiences an allergic reaction, monitoring vital signs is a priority nursing intervention. An allergic reaction can lead to systemic manifestations, such as respiratory distress, hypotension, or tachycardia. Monitoring vital signs allows the nurse to assess the client's overall condition, identify any worsening symptoms, and provide prompt intervention.

A) Administering an antihistamine

While antihistamines may be a part of the treatment plan for allergic reactions, they should not be the nurse's initial priority. The nurse should first assess the client's vital signs and overall stability before administering any medication.

B) Notifying the healthcare provider

While it is important to communicate with the healthcare provider, especially in severe cases, immediate intervention to monitor vital signs and ensure client stability should take precedence before notifying the healthcare provider.

D) Applying a cool compress to the affected area

Applying a cool compress may provide local relief for symptoms such as itching or redness. However, in the case of an allergic reaction, systemic manifestations require immediate attention. Therefore, monitoring vital signs takes priority over local comfort measures.

Explanation: When a client is experiencing an anaphylactic reaction, ensuring airway patency is the nurse's first priority. Airway obstruction due to swelling or bronchospasm can rapidly lead to respiratory distress and hypoxia. Assessing airway patency allows the nurse to determine the severity of the situation and initiate appropriate interventions.

A) Administering epinephrine

Epinephrine is a critical medication for treating anaphylaxis, but the nurse must first ensure airway patency before administering any medication. The administration of epinephrine would follow the assessment and confirmation of airway patency.

B) Calling for emergency assistance

While calling for emergency assistance is essential in managing anaphylactic reactions, it should not take precedence over assessing airway patency. The nurse must first assess the client's immediate condition and initiate interventions to secure the airway.

D) Positioning the client in a supine position

Positioning the client in a supine position may be appropriate in some situations, but it is not the first priority when managing an anaphylactic reaction. Airway assessment and intervention should be the initial focus to address potential airway obstruction.

A nurse is providing education to a client about self-management of allergic reactions.