Which symptom is the most common with a hypersensitivity reaction to a medication?.

Choice A rationale:
Giving the medication as ordered despite the patient’s stated allergy could lead to a severe allergic reaction.
Choice B rationale:
While checking the drug insert for information on reactions to the drug is important, the immediate action should be to withhold the medication.
Choice C rationale:
Withholding the medication and notifying the prescriber of the situation is the safest course of action when a patient states they are allergic to the medication.
Choice D rationale:
Giving the medication and monitoring the patient for adverse effects is not safe if the patient has stated they are allergic to the medication.

Choice A rationale:
Evaluation is the final step in the nursing process where the nurse determines if the goals set in the planning stage have been met. This does not involve identifying the therapeutic intent of a medication.
Choice B rationale:
Assessment is the first step in the nursing process where the nurse gathers information about the patient’s physical, psychological, sociocultural, and spiritual status. While this may involve understanding the patient’s medication regimen, it does not specifically involve identifying the therapeutic intent of a medication.
Choice C rationale:
Planning involves setting goals and developing a plan to meet those goals. While this may involve considering the therapeutic intent of a medication, it is not the step where this identification occurs.
Choice D rationale:
Implementation is the step of the nursing process where the nurse executes the plan of care. This includes identifying the therapeutic intent of a prescribed medication.