Answer: Today's NCLEX Question of the Day
The answer is B) Stop the antibiotic infusion.
Hives, wheezing and throat tightness after a new IV medication point to anaphylaxis, a life-threatening allergic reaction. The first step is to stop the drug that is causing it, so the client stops receiving more of the allergen. Keep the IV line open with normal saline (using new tubing), call for help and the rapid response team, and expect to give epinephrine IM as the first-line drug, while supporting the airway.
Why not the others: A, an oral antihistamine, is too slow and does not treat airway swelling, and a client with throat tightness may not swallow safely. C, documenting, matters but comes after the client is safe. D, waiting 15 minutes, delays care while the airway may be closing.
NCLEX tip: when a reaction comes from something you are giving, the first action is almost always "stop it," then assess the airway.
How did you do? Tell us below.
Did you get it right? What other "stop it first" situations can you think of?
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