A client receives the influenza (inactivated) vaccine IM. Fi…
A client receives the influenza (inactivated) vaccine IM. Five minutes later, the VN notes the following:Complains of tightness in the throatAudible wheezingHives on the chestBP: 88/54 mmHgHR: 122 bpmStanding orders allow the nurse to:• Administer epinephrine IM• Apply oxygen• Call the RN immediately• Monitor vital signsWhich action is the priority for the nurse?
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