A patient presents with hives, watering eyes, and mild wheezing. Given their vital signs are B 102/60, P 110, and R 22, what should you do during the initial assessment?

In this scenario, the patient is showing signs of an allergic reaction, characterized by hives, watering eyes, and mild wheezing. The vital signs indicate that the patient is experiencing potential distress, including a low blood pressure and elevated heart rate, which can arise from anaphylaxis or a severe allergic reaction.

The correct action is to manage the patient's airway because the presence of wheezing suggests that their airway may be compromised or that they could experience further respiratory distress. Ensuring the airway is clear and that the patient can breathe adequately is the top priority in any situation involving potential respiratory issues.

This focus on airway management is crucial; if the patient’s breathing worsens, it could lead to respiratory failure. Administering antihistamines, providing fluids, or initiating oxygen therapy, while potentially beneficial in managing allergic reactions, do not address the immediate threat to the airway. If the airway is not secured, the patient's condition could rapidly deteriorate, so prioritizing airway management is essential in the initial assessment.