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What is the immediate concern for a patient who feels swelling in their throat and starts to cough after receiving contrast media?

  1. Sinusitis requires completion of the exam

  2. Respiratory arrest and call for assistance

  3. Epistaxis and provide facial tissues

  4. Hematoma and provide a warm cloth

The correct answer is: Respiratory arrest and call for assistance

The immediate concern for a patient experiencing swelling in their throat and coughing after receiving contrast media is related to the potential for respiratory distress or arrest. The symptoms mentioned can indicate an allergic reaction or anaphylaxis to the contrast agent, which can lead to airway obstruction. In this situation, it is crucial to prioritize the patient's airway and breathing. In such cases, rapid response is essential, including calling for medical assistance and preparing to provide necessary interventions such as ensuring the patient can breathe adequately, possibly administering oxygen, or preparing for resuscitation if the situation escalates. This type of reaction requires urgent medical evaluation and intervention, as airway compromise can be life-threatening if not addressed immediately. While the other options suggest unrelated or less critical conditions—such as sinusitis, nasal bleeding, or a hematoma—these do not address the urgent nature of airway management needed in response to the signs of possible anaphylaxis or severe allergic reaction.