Editing Anaphylaxis Response (E.A.T. A.S.S.) (section)

==Question==
A client receiving IV epinephrine for anaphylaxis remains hypotensive despite the initial dose and has no signs of respiratory distress. Which additional nursing action is appropriate?
# Place the client in the Trendelenburg position
# Withhold further epinephrine and wait for the antihistamine to take effect
# Sit the client upright to ease breathing
# Discontinue IV fluids to avoid fluid overload

'''Answer:''' 1 (Place the client in the Trendelenburg position)

''Rationale:'' Trendelenburg positioning supports venous return and perfusion in an anaphylaxis-related hypotensive episode, provided the client has no respiratory distress that the position would worsen. Epinephrine should not be withheld in ongoing anaphylaxis; antihistamines are not a substitute. Sitting a hypotensive-but-not-respiratory-distressed client upright and stopping fluids would both worsen perfusion.