The nurse receives a handoff report on four patients. Which patient should the nurse assess first?

a. Pain rating 4/10 after pain medication
b. Blood pressure 102/62 mm Hg
c. Pulse 42 beats/min
d. Respiratory rate 18 breaths/min


ANS: C
A pulse of 42 beats/min is considered bradycardia and the patient should be assessed first because perfusion could be compromised. The pain rating is not extreme and should be considered in light of the patient's pain goals. The blood pressure and respiratory rate are normal.

Nursing

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