Certified Pediatric Emergency Nurse (CPEN) Practice Exam 2025 – All-in-One Guide to Master Your Certification!

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Which intervention is most effective in preventing anaphylaxis in a child with known allergies?

Administering antihistamines regularly.

Avoiding known allergens.

Avoiding known allergens is the most effective intervention in preventing anaphylaxis in a child with known allergies. Anaphylaxis is a severe and potentially life-threatening allergic reaction that can occur within minutes of exposure to a specific allergen. For children who have documented allergies, the best strategy to prevent such reactions is through strict avoidance of the allergens identified in their medical history.

This preventative measure entails being vigilant about the child's environment, food intake, and any products they may come into contact with that could trigger an allergic response. When children successfully avoid allergens, they reduce the risk of exposure and ultimately the chances of experiencing a serious reaction.

In contrast, regularly administering antihistamines may help manage milder allergy symptoms but does not prevent anaphylaxis and is not a safe alternative to avoidance. Using a nebulizer may assist with respiratory symptoms during an allergic reaction but does not prevent the reaction itself. Increased outdoor exposure has no direct relation to preventing anaphylaxis and does not address the risk of exposure to known allergens. Thus, the key to preventing anaphylaxis lies in avoiding the specific triggers that cause these severe allergic reactions.

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Using a nebulizer during allergic reactions.

Providing increased outdoor exposure.

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