Immediately after the nurse administers an intradermal injection of an allergen on the forearm, a client complains of itching at the site and of weakness and dizziness. Which of the following actions is priority for the nurse to implement?
A)Remind the client to remain calm.
B)Administer subcutaneous epinephrine.
C)Apply a tourniquet above the injection site.
D)Rub a local anti-inflammatory cream on the site.

Question

Quizplus · Accepted Answer

Application of a tourniquet will decrease systemic circulation of the allergen and should be the first reaction. A local anti-inflammatory cream may be applied to the site of a cutaneous test if the itching persists. Epinephrine will be needed if the allergic reaction progresses to anaphylaxis. The nurse should assist the client to remain calm, but this is not an adequate initial nursing action.

Immediately After the Nurse Administers an Intradermal Injection of an Allergen