What is the priority nursing diagnosis for a child with a history of asthma and bee sting exposure?

The priority nursing diagnosis for a child with a history of asthma who has been exposed to a bee sting is ineffective airway clearance. This is because individuals with asthma are particularly sensitive to allergens, and bee stings can cause an anaphylactic reaction that may compromise the airway.

In the context of asthma, any allergic reaction can lead to bronchoconstriction, swelling, and increased mucus production, all of which can significantly hinder the child's ability to breathe effectively. The priority for nursing intervention in this scenario is to ensure that the airway remains clear and that the child can breathe without obstruction.

While other diagnoses may also be relevant, such as risk for infection (due to possible ongoing treatments or procedures), pain management (which may be required following the sting), and impaired skin integrity (depending on the severity of the reaction), addressing airway clearance takes precedence in any situation where respiratory compromise is a potential concern. Ensuring adequate airway function is crucial to prevent further complications and to stabilize the child’s condition.