Difficulty: Medium
Average Score: 85%
Simulated
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct answer
D
Rationale
The correct answer is D: Administer epinephrine IM. In an anaphylactic reaction, epinephrine is the drug of choice due to its rapid onset and vasoconstrictive effects which help reverse the symptoms. IM route ensures quick absorption. Giving diphenhydramine (A) may be helpful for mild allergic reactions but is not as effective for anaphylaxis. Elevating legs (B) is not a priority and may worsen the client's condition. Replacing IV fluid (C) is not the immediate action needed.