The client states shellfish allergy with a rash. Which is the priority nursing action before a cardiac catheterization?

The client states shellfish allergy with a rash. Which is the priority nursing action before a cardiac catheterization?

• A. Attach a wrist band indicating the client's allergy
• B. Notify the provider of the client's allergy
• C. Ask the client if any other foods cause such a reaction
• D. Notify the dietary department of the client's allergy

Answer: (C)

The priority is to gather a complete allergy history to guide safe care during the procedure. Asking the client if any other foods cause a reaction expands understanding of the allergy pattern and helps assess the risk of a reaction to iodinated contrast used in cardiac catheterization. Knowing whether there are other food or drug allergies, and the severity of those reactions, informs whether premedication or alternative imaging strategies might be needed. Attaching a wristband or notifying others are important steps, but they come after you have a clearer picture of the patient’s allergies. By confirming the full allergy history now, you set the stage for appropriate precautions and communication with the care team.

The priority is to gather a complete allergy history to guide safe care during the procedure. Asking the client if any other foods cause a reaction expands understanding of the allergy pattern and helps assess the risk of a reaction to iodinated contrast used in cardiac catheterization. Knowing whether there are other food or drug allergies, and the severity of those reactions, informs whether premedication or alternative imaging strategies might be needed. Attaching a wristband or notifying others are important steps, but they come after you have a clearer picture of the patient’s allergies. By confirming the full allergy history now, you set the stage for appropriate precautions and communication with the care team.