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NCLEX-RN (Registered Nurse) Practice Exam · Question

A client is experiencing an anaphylactic reaction. What is the nurse's priority intervention?

Administering epinephrine intramuscularly is the priority intervention for an anaphylactic reaction as it rapidly reverses the effects of histamine and improves

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Question: A client is experiencing an anaphylactic reaction. What is the nurse's priority intervention?

Answer options:

  • Administer diphenhydramine
  • Apply oxygen via non-rebreather mask ✅ Administer epinephrine intramuscularly
  • Start an intravenous (IV) line

Correct answer: Administer epinephrine intramuscularly

Explanation: Administering epinephrine intramuscularly is the priority intervention for an anaphylactic reaction as it rapidly reverses the effects of histamine and improves airway patency.

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