What action should a nurse take for a patient who missed an appointment for weekly immunotherapy?

In the context of a patient who has missed their weekly immunotherapy appointment, consulting with the healthcare provider about giving a lower allergen dose is an important and appropriate action. This approach acknowledges the potential risk associated with missing a dose, as the patient's immune system may have altered its response in the absence of regular exposure to the allergen.

Immunotherapy works by gradually desensitizing the patient to the specific allergens through controlled exposure. Missing an appointment can disrupt this process, which may lead to increased sensitivity upon resuming treatment. By discussing the option of a lower allergen dose with the healthcare provider, the nurse ensures that the patient's safety is prioritized and that any potential adverse reactions can be minimized. This cautious approach helps to re-establish the patient's immunotherapy regimen effectively and safely after a missed dose.

Other actions, such as scheduling an additional dose or administering the usual dosage, may pose a risk to the patient due to increased sensitivity. Re-evaluating the patient's sensitivity with a repeat skin test is generally more invasive and may not be practical or necessary right away. Consulting with the provider about the possibility of adjusting the dose strikes a balance between maintaining the treatment protocol and considering the patient's current state.