Test: NCLEX

1.

The nurse performs triage in the emergency department for a patient with a bee sting. The family reports a history of allergic reactions to bee stings, and the patient complains of difficulty breathing and swelling in his mouth. Which of the following is the priority of the nurse?

Administer oral diphenhydramine.

Administer subcutaneous epinephrine.

Contact the physician.

Maintain an open airway.

Obtain a full patient history.

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