In a case of anaphylaxis following a bee sting, what is the first priority for the nurse?

In the case of anaphylaxis, the first priority for the nurse is to administer epinephrine. Epinephrine is a life-saving medication that counteracts the severe allergic reactions that occur during anaphylaxis, such as airway constriction, drop in blood pressure, and hives. Administering epinephrine promptly can significantly reduce the risk of serious complications or death.

Placing a tourniquet proximal to the sting site is not a recommended practice in this situation, as it can cause further complications and is not effective for treating systemic reactions like anaphylaxis. Keeping the child warm and starting an IV line are also important steps in managing a patient’s overall condition but do not address the immediate life-threatening response triggered by anaphylaxis. The administration of epinephrine should always take precedence, as it directly targets the anaphylactic response and is critical for stabilizing the patient's condition.