A nurse receives a shift report and is preparing to care for clients assigned on a medical-surgical unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living.
B) The client who needs help ambulating to the bathroom.
C) The client with a pain rating of 3/10.
D) The client experiencing shortness of breath.
Answer: D
The nurse begins by assessing the client who is at the greatest risk, who in this case is the client having trouble breathing. The risk for the client with mild pain is not as severe as the client with dyspnea. The nurse can delegate the ambulation of a client to a nursing assistive individual. The nurse can also delegate assisting a client who needs help with a bath.
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