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Which action is advisable to prevent an anaphylactic reaction during patient assessment?

  1. Administer epinephrine immediately

  2. Ask about known allergies

  3. Inquire about past medical history

  4. Assess vital signs first

The correct answer is: Ask about known allergies

Asking about known allergies is crucial in preventing an anaphylactic reaction during patient assessment because it provides essential information regarding any potential triggers the patient may have. When a patient has known allergies, particularly to specific medications, foods, or insect stings, understanding these can help healthcare providers avoid exposure to allergens that could lead to an anaphylactic event. This proactive approach allows for the implementation of appropriate precautions during treatment and assessment. Identifying allergies helps tailor interventions that minimize any risk of exposure, ensuring the patient's safety. For example, if a patient is allergic to penicillin and it’s indicated they need antibiotics, alternative medications can be considered. In contrast, administering epinephrine immediately should be reserved for situations where anaphylaxis is actually occurring, not as a preventative measure during assessment. Inquiring about past medical history, while also important, does not directly address current known allergies, and assessing vital signs first may delay the recognition of any immediate allergic reactions the patient might experience. Thus, understanding allergies provides crucial preventive information that enhances patient care and safety.