If a patient reports an allergy to a medication, what is the appropriate action before administration?

• A. Avoid the med, alert nurse, monitor
• B. Administer and observe for reaction
• C. Administer at a lower dose
• D. Do not document the allergy

Answer: (A)

When a patient reports an allergy to a medication, the safest approach is to avoid that drug, alert the nurse or prescriber, and monitor the patient for any signs of reaction. This protects the patient from a potentially serious allergic response and ensures someone with authority confirms the allergy and identifies a safe alternative. At the same time, document the allergy clearly in the patient’s chart and allergy list so all caregivers know not to give that medication. If an alternative is needed, choose a different medication and follow facility protocols. It can also help to clarify what reaction occurred and when, since some reports are allergies, while others are intolerances or nonallergic adverse effects. Do not administer the drug or leave the allergy undocumented.