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Author: Admin | 2025-04-28
The drug. The nurse should notify the provider immediately if the patient develops any symptoms of an allergic reaction. Nurses should remember to always follow the organization's protocol for adverse reactions to a medication.The most severe type of allergic reaction is anaphylaxis. Anaphylaxis is a rare, life-threatening reaction that causes symptoms such as difficulty breathing, nausea, vomiting, diarrhea, dizziness, tachycardia, hypotension, seizure, and loss of consciousness. Anaphylaxis is considered a medical emergency. The nurse should discontinue the drug and urgently notify the provider if anaphylaxis is suspected. The nurse will also initiate emergency protocols according to agency policy.Clinical Judgment Measurement Model: Analyze Cues: Recognizing a Potential Allergic ReactionThe patient reports a new complaint of itching. Although itching is a cue, there is not enough information to analyze the significance of the cue. The nurse may ask the patient additional questions, such as “Is the itching all over or specific to one area of the body?” and “When did the itching start?” as well as perform a physical assessment to learn more about the cue. Upon assessment, it is noted that the patient itches “all over,” the itching started about 10 minutes ago, and there is a newly formed red rash covering the body. Using critical thinking, the nurse considers factors that could potentially cause the symptoms, such as skin conditions, dermatitis from contact with the sheets, or an allergic reaction.To narrow down a potential hypothesis, the nurse may need to ask additional questions. The nurse asks the patient, “Have you
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