Question

you are treating a patient with a severe allergic reaction after receiving multiple bee stings. the patient used an epipen, what would be your priority in reassessment?

blood pressure.
lung sounds.
pulse rate.
skin color.

Explanation:

Identify the clinical scenario

The patient is experiencing a severe allergic reaction (anaphylaxis) and has received epinephrine via an EpiPen. Epinephrine is a life-saving medication that works by causing vasoconstriction (to reverse hypotension) and bronchodilation (to relieve airway constriction and bronchospasm).

Determine the reassessment priority

Using the Anaphylaxis Management knowledge point, the primary life threats in anaphylaxis are airway occlusion and respiratory failure due to bronchospasm and laryngeal edema.

Using the Epinephrine Indications knowledge point, when evaluating the effectiveness of epinephrine, the clinician must immediately reassess the patient's respiratory status to ensure the airway is patent and bronchoconstriction is resolving. Assessing lung sounds directly monitors the adequacy of bronchodilation and the resolution of life-threatening airway obstruction. While blood pressure, pulse rate, and skin color are important cardiovascular indicators, airway and breathing (lung sounds) always take priority in the primary assessment and reassessment of a respiratory emergency.

Answer:

• Blood pressure.
• Lung sounds. (Correct answer)
• Pulse rate.
• Skin color.