For early detection of an anaphylactic reaction in a client who has received allergen testing using the cutaneous scratch method, which of the following actions should the nurse take first?
A)Check blood pressure and pulse rate.
B)Auscultate the lung sounds bilaterally.
C)Monitor pupil size and reaction to light.
D)Assess the arm at the site of the skin testing.

Question

Quizplus · Accepted Answer

The initial symptoms of anaphylaxis are itching and edema at the site of the exposure. Hypotension, tachycardia, dilated pupils, and wheezes occur later. Rapid administration of epinephrine when excessive itching or swelling at the skin site is observed can prevent the progression to anaphylaxis.

For Early Detection of an Anaphylactic Reaction in a Client