The practical nurse (PN) is providing care for a client who is receiving an intravenous antibiotic to treat an infection. Which assessment findings require the most immediate action by the PN?

Hives (also known as urticaria) are raised, red, itchy welts on the skin that can be caused by an allergic reaction to medication, including antibiotics. It is essential for the PN to recognize this potentially severe allergic reaction and take immediate action. Immediate action steps include: Stop the infusion of the intravenous antibiotic immediately. Notify the healthcare provider and report the allergic reaction. Assess the client's airway, breathing, and circulation to ensure there are no signs of respiratory distress or anaphylaxis. Administer prescribed emergency medications if needed (e.g., epinephrine, antihistamines). Monitor the client closely for any further signs of an allergic reaction or anaphylaxis. The other assessment findings mentioned are also important to address, but they do not require immediate action: A- Dry mouth with thirst: This may indicate dehydration, which should be addressed by encouraging the client to drink fluids, but it does not pose an immediate threat to the client's safety. B- Warm skin with elastic turgor: This suggests that the client is adequately hydrated, and the skin's elasticity is normal, which is a positive finding. C- Low-grade fever with diaphoresis: A low-grade fever indicates a mild elevation in temperature, and diaphoresis (sweating) may be the body's response to regulate temperature. The PN should monitor the client's temperature and assess for other signs of infection, but this finding does not require immediate action