A nurse at an outpatient allergy clinic is educating the par…
A nurse at an outpatient allergy clinic is educating the parents of a 6-year-old child with a severe peanut allergy on distinguishing mild cutaneous allergic reactions from true anaphylaxis. The nurse explains that oral antihistamines (e.g., diphenhydramine) may be used at home for mild, localized skin symptoms, but immediate intramuscular epinephrine and emergency hospital evaluation are required as soon as respiratory or cardiovascular involvement occurs. Which clinical presentation represents an emergency requiring immediate epinephrine and hospital transport rather than home management with diphenhydramine?
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